Ownership Certificate

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0054 can be found here:

Documents and Forms

Document Name Document Type
Form 1000 Ownership Certificate Form
1000 Ownership Certificate Form1000.pdf Form
09Burden_Computation.pdf Form 1000 Burden Computation IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Ownership Certificate	Agency IC Tracking Number:	ah-0054-015

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1000	Ownership Certificate	Form1000.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	5,040	5,040
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Form 1000 Burden Computation	09Burden_Computation.pdf	02/21/2013

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