Exercise of an Incentive Stock Option Under...; Transfer of Stock Acquired Through an ...; REG-103146-08-Information Reporting Requirements Under Code Sec. 6039

ICR 201111-1545-006

OMB: 1545-2129

Federal Form Document

ICR Details
1545-2129 201111-1545-006
Historical Active 201006-1545-005
TREAS/IRS ah-2129-006
Exercise of an Incentive Stock Option Under...; Transfer of Stock Acquired Through an ...; REG-103146-08-Information Reporting Requirements Under Code Sec. 6039
Revision of a currently approved collection   No
Regular
Approved without change 12/22/2011
Retrieve Notice of Action (NOA) 11/29/2011
  Inventory as of this Action Requested Previously Approved
12/31/2014 36 Months From Approved 12/31/2011
51,000 0 51,000
25,205 0 25,195
0 0 0

Form 3921 is a copy of the information return filed with the IRS which transferred shares of stock to a recipient through exercise of an incentive stock option under section 422(b). Form 3922 is used to record a transfer of the legal title of a share of stock acquired by the employee where the stock was acquired pursuant to the exercise of an option described in section 423(c). REG-103146-08 - reflects the changes to section 6039 of the Internal Revenue Code made by section 403 of the Tax Relief and Health Care Act of 2006.

US Code: 26 USC 6039 Name of Law: Information required in connection with certain options
   PL: Pub.L. 109 - 432 403 Name of Law: Tax Relief and Health Care Act of 2006
   US Code: 26 USC 7805 Name of Law: Rules and regulations
  
None

Not associated with rulemaking

  76 FR 49539 08/10/2011
76 FR 73017 11/28/2011
No

  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 51,000 51,000 0 0 0 0
Annual Time Burden (Hours) 25,205 25,195 0 10 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
A box was added to show the exercise price per share determined as if the option was exercised on the date the option was granted. This results in a net burden increase of 10 hours.

$6,500
No
No
No
No
No
Uncollected
Melody Devoe 2022837635

  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.
11/29/2011


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