Information Collection

REG-164754-01 (FINAL) Split-Dollar Life Insurance Arrangements

IC 19382 under ICR 201411-1545-041 · OMB 1545-1792.

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IC Title:

REG-164754-01 (FINAL) Split-Dollar Life Insurance Arrangements

Agency IC Tracking Number:

em-1792-011

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 26 CFR 1 26 CFR 602 26 CFR 1.7872-15

Information Collection Instruments:

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Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 115,000

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	115,000	115,000
Annual IC Time Burden (Hours)	32,500	32,500
Annual IC Cost Burden (Dollars)	0	0

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