Information Collection

Statement For Recipients Of Total Distributions From Profit-sharing, Retirement Plans, Individual Retirement Arrangements, Insurance Contracts, Etc.

IC 128620 under ICR 198711-1545-002 · OMB 1545-0119.

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Information Collection (IC) Details

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IC Title:	STATEMENT FOR RECIPIENTS OF TOTAL DISTRIBUTIONS FROM PROFIT-SHARING, RETIREMENT PLANS, INDIVIDUAL RETIREMENT ARRANGEMENTS, INSURANCE CONTRACTS, ETC.	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	1099R				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 137,139	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,266,571	-18,004,662	26,271,233
Annual IC Time Burden (Hours)	3,700,586	-16,576,771	20,277,357
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.