SUBSTITUTE FOR FORM W-2, WAGE AND TAX STATEMENT OR FORM W-2P, STATEMENT FOR RECIPIENTS OF ANNUITIES, PENSIONS, RETIRED PAY OR IRA PAYMENTS

ICR 199005-1545-028

OMB: 1545-0458

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1545-0458 199005-1545-028
Historical Active 198706-1545-007
TREAS/IRS
SUBSTITUTE FOR FORM W-2, WAGE AND TAX STATEMENT OR FORM W-2P, STATEMENT FOR RECIPIENTS OF ANNUITIES, PENSIONS, RETIRED PAY OR IRA PAYMENTS
Extension without change of a currently approved collection   No
Regular
Approved without change 07/23/1990
Retrieve Notice of Action (NOA) 05/29/1990
  Inventory as of this Action Requested Previously Approved
07/31/1993 07/31/1993 07/31/1990
1,300,000 0 1,300,000
390,000 0 390,000
0 0 0

IN THE ABSENCE OF A FORM W-2, W-2C, OR W-2P FROM THE EMPLOYER OR PAYOR, FORM 4852 IS USED BY THE TAXPAYER TO ESTIMATE GROSS WAGES, ANNUITIES, PENSIONS, RETIRED PAY OR IRA PAYMENTS RECEIVED AS WELL AS INCOME OR FICA TAX WITHHELD DURING THE YEAR. IT IS ATTACHED TO THE RETURN FOR PROCESSING AS WOULD A FORM W-2 W-2C OR W-2P.

None
None


No

  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 1,300,000 1,300,000 0 0 0 0
Annual Time Burden (Hours) 390,000 390,000 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.
05/29/1990


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