Supplemental Income and Loss

ICR 200909-1545-025

OMB: 1545-1972

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2009-09-16
Supplementary Document
2009-09-16
Supporting Statement A
2009-09-16
IC Document Collections
IC ID
Document
Title
Status
43898 Modified
ICR Details
1545-1972 200909-1545-025
Historical Active 200604-1545-024
TREAS/IRS ah-1972-025
Supplemental Income and Loss
Extension without change of a currently approved collection   No
Regular
Approved without change 11/10/2009
Retrieve Notice of Action (NOA) 09/29/2009
  Inventory as of this Action Requested Previously Approved
11/30/2012 36 Months From Approved 11/30/2009
45,463 0 45,463
284,599 0 284,599
0 0 0

Schedule E (Form 1040) is used by individuals to report their supplemental income. The data is used to verify that the items reported on the form is correct and also for general statistical use.

US Code: 26 USC 6012 Name of Law: Persons required to make returns of income.
   US Code: 26 USC 6011 Name of Law: General requirements of return, statement, or list.
  
None

Not associated with rulemaking

  74 FR 25805 05/29/2009
74 FR 48627 09/23/2009
No

1
IC Title Form No. Form Name
Supplemental Income and Loss 1040 Sch. E Supplemental Income and Loss

  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 45,463 45,463 0 0 0 0
Annual Time Burden (Hours) 284,599 284,599 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$15,000,000
No
No
Uncollected
Uncollected
No
Uncollected
Jeffery Mitchell 202 622-4970

  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.
09/29/2009


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