Information Collection

REG-120282-10 (Final) / Dividend Equivalents from Sources within the United States

IC 217930 under ICR 201508-1545-015 · OMB 1545-0096.

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Information Collection (IC) Details

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IC Title:	REG-120282-10 (Final) / Dividend Equivalents from Sources within the United States	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 1.871-5 26 CFR 1.1442-1 to 1.1442-3

Information Collection 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: 30,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30,000	30,000
Annual IC Time Burden (Hours)	240,000	240,000
Annual IC Cost Burden (Dollars)	0	0

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