Information Collection

Form 3921 - Exercise of an Incentive Stock Option Under Section 422(b).

IC 186590 under ICR 200809-1545-010 · OMB 1545-2129.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2129 can be found here:

Documents and Forms

Document Name Document Type
Form 3921 Form 3921 - Exercise of an Incentive Stock Option Under Section 422(b). Form and Instruction
3921 Exercise of an Incentive Stock Option Under Section 422( 3921 1st draft 9-4-08.pdf Form and Instruction
WRN for Form 3921.pdf WRN for Form 3921 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 3921 - Exercise of an Incentive Stock Option Under Section 422(b).	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 and Instruction	3921	Exercise of an Incentive Stock Option Under Section 422(b).	3921 1st draft 9-4-08.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	95	95
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
WRN for Form 3921	WRN for Form 3921.pdf	09/16/2008

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