Information Collection

TD 8619 (Final)(EE-43-92) Direct Rollovers and 20-Percent Withholding Upon Eligible Rollover Distributions from Qualified Plans

IC 18132 under ICR 201504-1545-009 · OMB 1545-1341.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1099-R.pdf Form 1099-R	IC Document
Instructions (Form1099-R).pdf Instructions (Form 1099-R)	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2510.3-2(f)

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

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,423,926

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 1 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,423,926	-8,900,000	10,323,926
Annual IC Time Burden (Hours)	643,369	-1,486,300	2,129,669
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Form 1099-R	Form 1099-R.pdf	06/16/2016
Instructions (Form 1099-R)	Instructions (Form1099-R).pdf	06/16/2016

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