Information Collection

Consent of Shareholder to Include Specific Amount in Gross Income

IC 39400 under ICR 200701-1545-033 · OMB 1545-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0043 can be found here:

Documents and Forms

Document Name Document Type
Form 972 Consent of Shareholder to Include Specific Amount in Gross Income Form
972 Consent of Shareholder to Include Specific Amount in Gro Form 972.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consent of Shareholder to Include Specific Amount in Gross Income	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	972	Consent of Shareholder to Include Specific Amount in Gross Income	Form 972.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	100	-167	267
Annual IC Time Burden (Hours)	385	5	380
Annual IC Cost Burden (Dollars)	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.