Statement by Person(s) Receiving Gambling Winnings

ICR 200006-1545-008

OMB: 1545-0239

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
17185 Migrated
ICR Details
1545-0239 200006-1545-008
Historical Active 199707-1545-004
TREAS/IRS
Statement by Person(s) Receiving Gambling Winnings
Extension without change of a currently approved collection   No
Regular
Approved without change 07/21/2000
Retrieve Notice of Action (NOA) 06/15/2000
The agency is not required to display the expiraiton date.
  Inventory as of this Action Requested Previously Approved
07/31/2003 07/31/2003 08/31/2000
306,000 0 306,000
61,200 0 61,200
0 0 0

Section 3402(q)(6) of the IRC requires a statement by the person receiving certain gambling winnings when that person is not the winner or is one of a group of winners. It enables the payer to properly apportion the winnings and withheld tax of Form W-2G. We use the information on Form W-2G to ensure that recipients are properly reporting their income.

None
None


No

1
IC Title Form No. Form Name
Statement by Person(s) Receiving Gambling Winnings FORM-5754

  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 306,000 306,000 0 0 0 0
Annual Time Burden (Hours) 61,200 61,200 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.
06/15/2000


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