Information Collection

Form 1125-E, Compensation of Officers

IC 199443 under ICR 201109-1545-026 · OMB 1545-2225.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1125-E Form 1125-E, Compensation of Officers	Form
Instructions Form 1125-E.pdf	Instruction
1125-E Compensation of Officers Form 1125-E.pdf	Form
Burden Form 1125-E.PDF 2011 Burden Form 1125-E	IC Document

IC Title:

Agency IC Tracking Number:

1545-XXXX-026

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	1125-E	Compensation of Officers	Form 1125-E.pdf		Yes	Yes	Fillable Fileable
Instruction			Instructions Form 1125-E.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 34 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000,000	3,000,000
Annual IC Time Burden (Hours)	12,900,000	12,900,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2011 Burden Form 1125-E	Burden Form 1125-E.PDF	10/20/2011

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