CONSENT OF SHAREHOLDER TO INCLUDE SPECIFIC AMOUNT IN GROSS INCOME

ICR 198401-1545-006

OMB: 1545-0043

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1545-0043 198401-1545-006
Historical Active 198110-1545-073
TREAS/IRS
CONSENT OF SHAREHOLDER TO INCLUDE SPECIFIC AMOUNT IN GROSS INCOME
Revision of a currently approved collection   No
Regular
Approved without change 01/27/1984
Retrieve Notice of Action (NOA) 01/23/1984
  Inventory as of this Action Requested Previously Approved
01/31/1987 01/31/1987 09/30/1984
500 0 500
370 0 370
0 0 0

FORM 972 IS COMPLETED BY THE SHAREHOLDER AND FILED AS PART OF THE CORPORATION'S ANNUAL INCOME TAX RETURN. FORM 972 ACCOMPANIES FORM 973 WHICH IS EXECUTED BY THE CORPORATION. THE INFORMATION IS USED TO HELP VERTIFY THAT SHAREHOLERS HAVE CONSENTED TO TREAT CERTAIN AMOUNTS AS DIVIDENDS AND TO REPORT SUCH AMOUNTS IN GROSS INCOME.

None
None


No

1
IC Title Form No. Form Name
CONSENT OF SHAREHOLDER TO INCLUDE SPECIFIC AMOUNT IN GROSS INCOME 972

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 500 500 0 0 0 0
Annual Time Burden (Hours) 370 370 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/23/1984


© 2024 OMB.report | Privacy Policy