Allocation of Individual Income Tax to Guam or the Commonwealth of the Northern Mariana Islands (CNMI)

ICR 199904-1545-014

OMB: 1545-0803

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1545-0803 199904-1545-014
Historical Active 199812-1545-043
TREAS/IRS
Allocation of Individual Income Tax to Guam or the Commonwealth of the Northern Mariana Islands (CNMI)
Extension without change of a currently approved collection   No
Regular
Approved without change 06/25/1999
Retrieve Notice of Action (NOA) 04/27/1999
The agency is not required to display the exipiration date.
  Inventory as of this Action Requested Previously Approved
11/30/2001 11/30/2001 06/30/1999
50 0 50
210 0 210
0 0 0

Form 5074 is used by U.S. citizens or residents as an attachment to form 1040 when they have $50,000 or more in adjusted gross income from U.S. sources and $5,000 or more in gross income from Guam or the Commonwealth of the Northern Mariana Islands (CNMI). 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 of the Northern Mariana Islands (CNMI) 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) 210 210 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.
04/27/1999


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