Information Collection

Form 5227 - Ordin. Income Distribution Worksheet

IC 191737 under ICR 201303-1545-013 · OMB 1545-0196.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0196 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Ordinary Income Dist Wrksht.pdf	Other-Worksheet
Ordinary Income Dist Wrksht - Burden.pdf Burden Computation	IC Document

IC Title:

Form 5227 - Ordin. Income Distribution Worksheet

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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-Worksheet			Ordinary Income Dist Wrksht.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 220,000

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	100,000	100,000
Annual IC Time Burden (Hours)	340,000	340,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden Computation	Ordinary Income Dist Wrksht - Burden.pdf	03/15/2013

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