Information Collection

Transmittal Of Information Returns Reported On Magnetic Media - Multiple Payer Transmittal For Magnetic Media Reporting

IC 170400 under ICR 198508-1545-033 · OMB 1545-0367.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	TRANSMITTAL OF INFORMATION RETURNS REPORTED ON MAGNETIC MEDIA - MULTIPLE PAYER TRANSMITTAL FOR MAGNETIC MEDIA REPORTING	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4804				No	No
Form	4802				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	118,343	48,343	70,000
Annual IC Time Burden (Hours)	49,269	20,126	29,143
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.