Life Insurance Statement

Life Insurance Statement

OMB: 1545-0022

IC ID: 16757

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Life Insurance Statement
 
No Modified
 
Mandatory
 
26 CFR 20.6018-4 26 CFR 25.6001-1(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 712 Life Insurance Statement Form 712.pdf Yes No Fillable Printable

General Government Taxation Management

 

60,000 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 60,000 0 0 0 0 60,000
Annual IC Time Burden (Hours) 1,120,200 0 0 0 0 1,120,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Burden brdn_busi.pdf 08/20/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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