Information Collection

Consent of Shareholder to Include Specific Amount in Gross Income

IC 39400 under ICR 201306-1545-032 · OMB 1545-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0043 can be found here:

Documents and Forms

Document Name Document Type
Form Form 972 Consent of Shareholder to Include Specific Amount in Gross Income Form and Instruction
Form 972 Consent of Shareholder to Include Specific Amount in Gro Form 972.pdf Form and Instruction
brdn_busi.pdf Burden IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consent of Shareholder to Include Specific Amount in Gross Income	Agency IC Tracking Number:

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 and Instruction	Form 972	Consent of Shareholder to Include Specific Amount in Gross Income	Form 972.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	385	385
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Burden	brdn_busi.pdf	06/18/2013

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