Information Collection

TD 9114 (Final) Electronic Payee Statements

IC 19238 under ICR 200705-1545-010 · OMB 1545-1729.

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Information Collection (IC) Details

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IC Title:	TD 9114 (Final) Electronic Payee Statements	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 1.6050S-1T(a) 26 CFR 1.6050S-2T(a) 26 CFR 1.6041-2T(a)(5) 26 CFR 31.6051-1T(j)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Previously Approved
Annual Number of Responses for this IC	28,449,495	28,449,495
Annual IC Time Burden (Hours)	2,844,950	2,844,950
Annual IC Cost Burden (Dollars)	0	0

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