Information Collection

Form 8937, Report of Organizational Actions Affecting Basis of Securities

IC 198455 under ICR 201107-1545-003 · OMB 1545-2224.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8937 Form 8937, Report of Organizational Actions Affecting Basis of Securities	Form and Instruction
8937 Report of Organizational Actions Basis of Securities Draft 8937.pdf	Form and Instruction
8937 2011 burden.pdf Burden	IC Document

IC Title:

Agency IC Tracking Number:

ah-XXXX-003

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8937	Report of Organizational Actions Basis of Securities	Draft 8937.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	206,500	206,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden	8937 2011 burden.pdf	07/12/2011

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