SPECIAL TAX RETURN AND APPLICATION FOR REGISTRY-WAGERING

ICR 198612-1545-001

OMB: 1545-0236

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
129499 Migrated
ICR Details
1545-0236 198612-1545-001
Historical Active 198403-1545-005
TREAS/IRS
SPECIAL TAX RETURN AND APPLICATION FOR REGISTRY-WAGERING
Revision of a currently approved collection   No
Regular
Approved without change 12/10/1986
Retrieve Notice of Action (NOA) 12/01/1986
  Inventory as of this Action Requested Previously Approved
12/31/1989 12/31/1989 03/31/1987
3,000 0 3,000
4,250 0 4,250
0 0 0

FORM 11-C IS USED TO REGISTER PERSONS ACCEPTING WAGERS (IRC SECTION 4401, 4411, AND 4412). IRS USES THIS FORM TO REGISTER THE RESPONDENT, COLLECT THE ANNUAL OCCUPATIONAL TAX AND TO VERIFY THAT THE TAX ON WAGERS IS REPORTED ON FORM 730.

None
None


No

1
IC Title Form No. Form Name
SPECIAL TAX RETURN AND APPLICATION FOR REGISTRY-WAGERING 11C

  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 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 4,250 4,250 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.
12/01/1986


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