Direct Rollover and 20 Percent Withholding Upon Eligible Rollover Distributions Form Qualified Plans, etc. (Cross-reference notice of proposed rulemaking and temporary regulations) (EE-43-92)
ICR 199506-1545-049
OMB: 1545-1341
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1545-1341 can be found here:
Direct Rollover and 20
Percent Withholding Upon Eligible Rollover Distributions Form
Qualified Plans, etc. (Cross-reference notice of proposed
rulemaking and temporary regulations) (EE-43-92)
Extension without change of a currently approved collection
These regulations provide rules
implementing the provisions of the enacted Unemployment
Compensation Amendments (Pub L. 102-318) requiring 20 percent
income tax withholding upon certain distributions from qualified
pension plans or tax-sheltered annuities.
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.