Form 14693 - Application for Reduced Rate of Withholding on Whistleblower Award Payment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2273 can be found here:

Documents and Forms

Document Name Document Type
Form 14693 Form 14693 - Application for Reduced Rate of Withholding on Whistleblower Award Payment Form and Instruction
14693 Application for Reduced Rate of Withholding on Whistlebl f14693--2015-02-00--r3.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 14693 - Application for Reduced Rate of Withholding on Whistleblower Award Payment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	14693	Application for Reduced Rate of Withholding on Whistleblower Award Payment	f14693--2015-02-00--r3.docx		No		Paper Only

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: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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