Occupational Tax and Registration Return for Wagering

ICR 200312-1545-005

OMB: 1545-0236

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
17179 Migrated
ICR Details
1545-0236 200312-1545-005
Historical Active 200311-1545-061
TREAS/IRS
Occupational Tax and Registration Return for Wagering
Extension without change of a currently approved collection   No
Regular
Approved without change 01/14/2004
Retrieve Notice of Action (NOA) 12/09/2003
  Inventory as of this Action Requested Previously Approved
01/31/2007 01/31/2007 01/31/2004
23,000 0 23,000
126,175 0 126,175
0 0 0

Form 11-C is used to register persons accepting wagers (IRC section 4412). IRS uses this form to register the respondent, collect the annual stamp tax (IRC section 4411), and to verify that the tax on wagers is reported on Form 730.

None
None


No

1
IC Title Form No. Form Name
Occupational Tax and Registration Return for Wagering 11-C

  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 23,000 23,000 0 0 0 0
Annual Time Burden (Hours) 126,175 126,175 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.
12/09/2003


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