STATEMENT BY PERSON(S) RECEIVING GAMBLING WINNINGS

ICR 198906-1545-035

OMB: 1545-0239

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
170377 Migrated
ICR Details
1545-0239 198906-1545-035
Historical Active 198903-1545-008
TREAS/IRS
STATEMENT BY PERSON(S) RECEIVING GAMBLING WINNINGS
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/19/1989
Approved with change 06/19/1989
Retrieve Notice of Action (NOA) 06/19/1989
  Inventory as of this Action Requested Previously Approved
05/31/1992 05/31/1992 05/31/1992
306,000 0 306,000
60,625 0 60,625
0 0 0

SECTION 3402(Q)(6) OF THE IRC REQUIRES SECTION 3402(Q)(6) OF THE IRC REQUIRES A STATEMENT BY THE PERSON RECEIVING CERTAIN GAMBLING WINNINGS WHEN THAT PERSON IS NOT THE WINNER OR IS ONE OF A GROUP ENTITLED TO A SHARE OF THE WINNINGS. IT ENABLES THE PAYER TO PROPERLY APPORTION THE WINNINGS AND WITHHELD TAX ON FORM W-2G. WE USE THE INFORMATION TO ENSURE THAT RECIPIENTS ARE PROPER REPORTING THEIR INCOME.

None
None


No

1
IC Title Form No. Form Name
STATEMENT BY PERSON(S) RECEIVING GAMBLING WINNINGS 5754

  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 306,000 306,000 0 0 0 0
Annual Time Burden (Hours) 60,625 60,625 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.
06/19/1989


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