Information Collection

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

IC 217497 under ICR 201507-1545-019 · OMB 1545-2273.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.