Information Collection

Form 990-W Schedule A (Part II)

IC 190894 under ICR 201211-1545-007 · OMB 1545-0976.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0976 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2012 990-W Sch A Prt 2..pdf	Other-
2012 Burden Prt 2.PDF Burden computation	IC Document

IC Title:

Form 990-W Schedule A (Part II)

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
Other-					Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 27,265

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	Previously Approved
Annual Number of Responses for this IC	3	3
Annual IC Time Burden (Hours)	78	78
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden computation		12/20/2012

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

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