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Tax on Lump-Sum Distributions (From Qualified Retirement Plans of Plan Participants Born Before 1936)
Tax on Lump-Sum Distributions (From Qualified Retirement Plans of Plan Participants Born Before 1936)
OMB: 1545-0193
IC ID: 39687
OMB.report
TREAS/IRS
OMB 1545-0193
ICR 200607-1545-027
IC 39687
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0193 can be found here:
2022-07-29 - Extension without change of a currently approved collection
2019-06-25 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 4972
Tax on Lump-Sum Distributions (From Qualified Retirement Plans of Plan Participants Born Before 1936)
Form
4972 Tax on Lump-Sum Distributions
Form 4972.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
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:
Modified
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
Tax on Lump-Sum Distributions
Form 4972.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
21,709
0
0
0
0
21,709
Annual IC Time Burden (Hours)
95,520
0
0
0
0
95,520
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.