Consumer Cooperative Exemption Application

ICR 200810-1545-003

OMB: 1545-1941

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2008-10-09
Supporting Statement A
2008-10-09
IC Document Collections
IC ID
Document
Title
Status
19659 Modified
ICR Details
1545-1941 200810-1545-003
Historical Active 200509-1545-008
TREAS/IRS
Consumer Cooperative Exemption Application
Extension without change of a currently approved collection   No
Regular
Approved without change 12/17/2008
Retrieve Notice of Action (NOA) 11/14/2008
  Inventory as of this Action Requested Previously Approved
12/31/2011 36 Months From Approved 12/31/2008
200 0 200
148 0 148
0 0 0

A cooperative uses Form 3491 to apply for exemption from filing information returns (Forms 1099-PATR) on patronage distributions of $10 or more to any person during the calendar year.

US Code: 26 USC 6044 Name of Law: Returns regarding payments of patronage dividends
  
None

Not associated with rulemaking

  73 FR 42652 07/22/2008
73 FR 67573 11/14/2008
No

1
IC Title Form No. Form Name
Consumer Cooperative Exemption Application 3491 Consumer Cooperative Exemption Application

  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 200 200 0 0 0 0
Annual Time Burden (Hours) 148 148 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,500
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Lisa Hysek 202 283-7359

  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.
11/14/2008


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