Information Collection

Certain Government Payments

IC 16942 under ICR 201108-1545-035 · OMB 1545-0120.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0120 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1099-G Certain Government Payments	Form
2011 1099G Instructions.pdf	Instruction
1099-G Certain Government Payments 2011 Form 1099G.pdf	Form

IC Title:

Certain Government Payments

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	1099-G	Certain Government Payments	2011 Form 1099G.pdf		Yes	Yes	Fillable Fileable
Instruction			2011 1099G Instructions.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,900

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	61,000,000	0	61,000,000
Annual IC Time Burden (Hours)	17,080,000	4,880,000	12,200,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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