Information Collection

Substitute For Form W-2, Wage And Tax Statement Or Form W-2p, Statement For Recipients Of Annuities, Pensions, Retired Pay Or Ira Payments

IC 129956 under ICR 198706-1545-007 · OMB 1545-0458.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	SUBSTITUTE FOR FORM W-2, WAGE AND TAX STATEMENT OR FORM W-2P, STATEMENT FOR RECIPIENTS OF ANNUITIES, PENSIONS, RETIRED PAY OR IRA PAYMENTS	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	FORM 4852				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,300,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,300,000	1,300,000
Annual IC Time Burden (Hours)	390,000	390,000
Annual IC Cost Burden (Dollars)	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.