Allocation of Individual Income Tax to Guam or the Commonwealth

ICR 199605-1545-005

OMB: 1545-0803

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1545-0803 199605-1545-005
Historical Active 199306-1545-021
TREAS/IRS
Allocation of Individual Income Tax to Guam or the Commonwealth
Extension without change of a currently approved collection   No
Regular
Approved without change 06/28/1996
Retrieve Notice of Action (NOA) 05/13/1996
  Inventory as of this Action Requested Previously Approved
06/30/1999 06/30/1999 09/30/1996
50 0 50
203 0 202
0 0 0

Form 5074 is used by U.S. citizens or residents as an attachment to form 1040 when they have $50,000 income from U.S. sources and $5,000 from Guam or Northern Mariana Islands. The data is used by IRS to allocate income tax due to Guam or CNMI as required by 26 U.S.C. 7654.

None
None


No

1
IC Title Form No. Form Name
Allocation of Individual Income Tax to Guam or the Commonwealth FORM-5074

  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 50 50 0 0 0 0
Annual Time Burden (Hours) 203 202 0 1 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
05/13/1996


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