Supporting statement

Supporting statement.doc

Consent of Shareholder to Include Specific Amount in Gross Income

OMB: 1545-0043

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Supporting Statement

(Form 972)

OMB 1545-0043


  1. CIRCUMSTANCES NECESSITATING COLLECTION OF INFORMATION


Section 565 allows certain corporations to deduct dividends paid to their shareholders. When these corporations are audited and must pay additional tax, they ask their shareholders to include the amounts in gross income as a dividend. If enough shareholders agree, the corporation is required to pay no additional tax.


2. USE OF DATA


Form 972 is filed on an occasional basis. IRS uses Form 972 to determine if shareholders are filing Form 1120X or Form 1040X to include the amount of the dividend in gross income.


3. USE OF IMPROVED INFORMATION TECHNOLOGY TO REDUCE BURDEN


Electronic filing is offered for this form.


  1. EFFORTS TO IDENTIFY DUPLICATION


We have attempted to eliminate duplication within the agency wherever possible.


  1. METHODS TO MINIMIZE BURDEN ON SMALL BUSINESSES OR OTHER SMALL ENTITIES


There are no small entities affected by this collection.


  1. CONSEQUENCES OF LESS FREQUENT COLLECTION ON FEDERAL PROGRAMS OR POLICY ACTIVITIES


Form 972 allows the IRS to verify that taxpayers included the consent dividends in income on their tax return. A corporation is deducting the consent dividends which are reported on Form 973. If Form 972 is not sent to the IRS, the Service is unable to check that each shareholder includes the consent dividends in income.


  1. SPECIAL CIRCUMSTANCES REQUIRING DATA COLLECTION TO BE INCONSISTENT WITH GUIDELINES IN 5 CFR 1320.5(d)(2)


There are no special circumstance requiring data collection to be inconsistent with guidelines in 5 CFR 1320.5(d)(2).


  1. CONSULTATION WITH INDIVIDUALS OUTSIDE OF THE AGENCY ON AVAILABILITY OF DATA, FREQUENCY OF COLLECTION, CLARITY OF INSTRUCTIONS AND FORMS, AND DATA ELEMENTS


In response to the Federal Register Notice (81 FR 18691), dated March 31, 2016, we received no comments during the comment period regarding Form 972.


  1. EXPLANATION OF DECISION TO PROVIDE ANY PAYMENT OR GIFT TO RESPONDENTS


No payment or gift has been provided to any respondents.


10. ASSURANCE OF CONFIDENTIALITY OF RESPONSES


Generally, tax returns and tax return information are confidential as required by 26 USC 6103.


11. JUSTIFICATION OF SENSITIVE QUESTIONS


A privacy impact assessment (PIA) has been conducted for information collected under this request as part of the “Business Master File (BMF)” system and a Privacy Act System of Records notice (SORN) has been issued for this system under IRS 24.046-Customer Account Data Engine Business Master File. The Department of Treasury PIAs can be found at https://www.irs.gov/uac/Privacy-Impact-Assessments-PIA .


Title 26 USC 6109 requires inclusion of identifying numbers in returns, statements, or other documents for securing proper identification of persons required to make such returns, statements, or documents and is the authority for social security numbers (SSNs) in IRS systems.


12. ESTIMATED BURDEN OF INFORMATION COLLECTION


Number of Time per Total

Responses Response Hours


Form 972 100 3.85 385


The time needed to complete this form will vary depending on individual circumstances. Form 972 is used by shareholders, individuals, businesses, and other taxpayers. The estimate of burden that is being reported under 1545-0043 reports only the burden imposed on shareholders.  The portion of the burden imposed on individual taxpayers is approved and reported under OMB Control Number 1545-0074. The portion of the burden imposed on businesses is approved and reported under OMB Control Number 1545-0123.


Estimates of the annualized cost to respondents for the hour burdens shown are not available at this time.


The following regulations impose no additional burden:

Please continue to assign OMB number 1545-0043 to these regulations.


1.565-1(b) 1.565-6 1.565-4T

1.565-2 1.565-1T 1.565-5T

1.565-3 1.565-2T 1.565-6T

1.565-5 1.565-3T



13. ESTIMATED TOTAL ANNUAL COST BURDEN TO RESPONDENTS


There is no estimated annual cost burden to the respondents.


14. ESTIMATED ANNUALIZED COST TO THE FEDERAL GOVERNMENT


The primary cost to the government consists of the cost of printing this form. We estimate that the cost to print Form 972 is $130.


15. REASONS FOR CHANGE IN BURDEN


There are no changes being made to the form at this time.

This form is being submitted for renewal purposes.


16. PLANS FOR TABULATION, STATISTICAL ANALYSIS AND PUBLICATION


There are no plans for tabulation, statistical analysis and publication.


  1. REASONS WHY DISPLAYING THE OMB EXPIRATION DATE IS INAPPROPRIATE


See attachment.


18. EXCEPTION TO THE CERTIFICATION STATEMENT


There are no exceptions to the certification statement.


Note: The following paragraph applies to all of the collections of information in this submission:


An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection of information displays a valid OMB control number. Books or records relating to a collection of information must be retained as long as their contents may become material in the administration of any internal revenue law. Generally, tax returns


and tax return information are confidential, as required by 26 U.S.C. 6103.

OMB EXPIRATION DATE


We believe the public interest will be better served by not printing an expiration date on the form(s) in this package.


Printing the expiration date on the form will result in increased costs because of the need to replace inventories that become obsolete by passage of the expiration date each time OMB approval is renewed. Without printing the expiration date, supplies of the form could continue to be used.


The time period during which the current edition of the form(s) in this package will continue to be usable cannot be predicted. It could easily span several cycles of review and OMB clearance renewal. In addition, usage fluctuates unpredictably. This makes it necessary to maintain a substantial inventory of forms in the supply line at all times. This includes supplied owned by both the Government and the public. Reprinting of the form cannot be reliably scheduled to coincide with an OMB approval expiration date. This form may be privately printed by users at their own expense. Some businesses print complex and expensive marginally punched continuous versions, their expense, for use in their computers. The form may be printed by commercial printers and stocked for sale. In such cases, printing the expiration date on the form could result in extra costs to the users.


Not printing the expiration date on the form(s) will also avoid confusion among taxpayers who may have identical forms with different expiration dates in their possession.


For the above reasons we request authorization to omit printing the expiration date on the form(s) in this package.





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File Typeapplication/msword
File TitleSupporting Statement
AuthorXHFNB
Last Modified ByDepartment of Treasury
File Modified2016-07-25
File Created2010-03-05

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