Information Collection

Transmittel Of Income And Tax Statements For State And Local Governmental Employers

IC 170447 under ICR 198605-1545-015 · OMB 1545-0662.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

TRANSMITTEL OF INCOME AND TAX STATEMENTS FOR STATE AND LOCAL GOVERNMENTAL EMPLOYERS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	W-3 S&L				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 65,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	85,000	20,000	65,000
Annual IC Time Burden (Hours)	14,187	3,717	10,470
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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

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