Dividends and Distributions

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
1099-DIV_SS.doc	Supporting Statement A	Uploaded 2011-11-07	Available
Expiration Explanation.rtf	Supplementary Document	Uploaded 2008-08-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
16922	Dividends and Distributions	Instruction	Modified

ICR Details

OMB Control No: 1545-0110	ICR Reference No: 201111-1545-009
Status: Historical Active	Previous ICR Reference No: 200908-1545-012
Agency/Subagency: TREAS/IRS	Agency Tracking No: em-0110-012
Title: Dividends and Distributions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/21/2011
	Date Received in OIRA: 11/30/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2014	36 Months From Approved	12/31/2011
Responses	111,922,150	0	111,922,150
Time Burden (Hours)	34,695,867	0	38,053,531
Cost Burden (Dollars)	0	0	0

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Abstract: The form is used by the Service to insure that dividends are properly reported as required by Code section 6042 and that liquidation distributions are correctly reported as required by Code section 6043, and to determine whether payees are correctly reporting their income.

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Authorizing Statute(s): US Code: 26 USC 6042 Name of Law: Returns regarding payments of dividends and corporate earnings and profits.
   US Code: 26 USC 6043 Name of Law: Liquidating, etc., transactions.
   PL: Pub.L. 111 - 5 1521 (54F) Name of Law: Qualified School Constructive Bonds
   PL: Pub.L. 111 - 5 1531 (54AA) Name of Law: Build America Bonds
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 36622	06/22/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 73017	11/28/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Dividends and Distributions	1099-DIV	Dividends and Distributions

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ICR Summary of Burden

table that charts list of burden

	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	111,922,150	111,922,150	0	0	0	0
Annual Time Burden (Hours)	34,695,867	38,053,531	0	-3,357,664	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Line items to include tax credit bond results and their respective codes have been eliminated. This results in a net decrease of 3,357,664 burden hours.

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Annual Cost to Federal Government: $343,854

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/30/2011

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