Information Collection

Tax on Lump-Sum Distributions (From Qualified Retirement Plans of Plan Participants Born Before 1936)

IC 17095 under ICR 200307-1545-001 · OMB 1545-0193.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Tax on Lump-Sum Distributions (From Qualified Retirement Plans of Plan Participants Born Before 1936)	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	4972				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 16 %

	Approved	Previously Approved
Annual Number of Responses for this IC	35,000	35,000
Annual IC Time Burden (Hours)	95,550	95,550
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.