Information Collection

Information Statement By United Kingdom Withholding Agents Paying Dividends From United States Corporations To Residents Of The U.s. And Certain Treaty Countries

IC 128934 under ICR 199401-1545-004 · OMB 1545-0153.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0153 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	INFORMATION STATEMENT BY UNITED KINGDOM WITHHOLDING AGENTS PAYING DIVIDENDS FROM UNITED STATES CORPORATIONS TO RESIDENTS OF THE U.S. AND CERTAIN TREATY COUNTRIES	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	3206				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,000	-4,228	1,228	9,000
Annual IC Time Burden (Hours)	14,570	-4,200	1,220	17,550
Annual IC Cost Burden (Dollars)	0	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.