Information Collection

Taxable Distributions Received From Cooperatives

IC 16934 under ICR 201212-1545-018 · OMB 1545-0118.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0118 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1099-PATR Taxable Distributions Received From Cooperatives	Form
INST 1099-PATR_2012.pdf	Instruction
1099-PATR Taxable Distributions Received From Cooperatives Form 1099-PATR_2012.pdf	Form
1099-PATR Taxable Distributions Received From Cooperatives Form 1099-PATR_2013.pdf	Form
brdn_spec.pdf 2012 Burden summary	IC Document

IC Title:

Taxable Distributions Received From Cooperatives

Agency IC Tracking Number:

ah-0118-016

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1099-PATR	Taxable Distributions Received From Cooperatives	Form 1099-PATR_2012.pdf	Yes	Yes	Fillable Fileable
Form	1099-PATR	Taxable Distributions Received From Cooperatives	Form 1099-PATR_2013.pdf	Yes	Yes	Fillable Fileable
Instruction			INST 1099-PATR_2012.pdf	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 96 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,961,131	1,961,131
Annual IC Time Burden (Hours)	509,895	509,895
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2012 Burden summary	brdn_spec.pdf	12/20/2012

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