Information Collection

How to Prepare Media Label for Form W-4

IC 17242 under ICR 199707-1545-036 · OMB 1545-0410.

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Information Collection (IC) Details

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IC Title:	How to Prepare Media Label for Form W-4	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	FORM-6468				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

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	400	-70	-24,530	25,000
Annual IC Time Burden (Hours)	33	-7	-2,460	2,500
Annual IC Cost Burden (Dollars)	0	0	0	0

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