Certain Government Payments

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0120 can be found here:

Documents and Forms

Document Name Document Type
General Inst Certain Info Returns ty14.pdf Instruction
Inst 1099-G yr2015.pdf Instruction
1099-G Certain Government Payments Form 1099-G (2015).pdf Form
Burden Calculation F1099-G.pdf Burden Calculation Form 1099-G IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certain Government Payments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 1 CFR 6041-1(a)(2) 1 CFR 6050 B-1 1 CFR 6050 D 1 CFR 6050 E-1(c)(d) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			General Inst Certain Info Returns ty14.pdf	Yes	No	Printable Only
Form	1099-G	Certain Government Payments	Form 1099-G (2015).pdf	Yes	Yes	Fillable Fileable
Instruction			Inst 1099-G yr2015.pdf	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,900	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	82,364,600	21,364,600	61,000,000
Annual IC Time Burden (Hours)	24,709,380	7,629,380	17,080,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Burden Calculation Form 1099-G	Burden Calculation F1099-G.pdf	12/05/2014

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