Information Collection

Form 1041-N - U.S. Income Tax Return for Electing Alaska Native Settlement Trusts

IC 19349 under ICR 201711-1545-024 · OMB 1545-1776.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1776 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1041-N Form 1041-N - U.S. Income Tax Return for Electing Alaska Native Settlement Trusts	Form
i1041-n--2016-12-00.pdf	Instruction
1041-N U.S. Income Tax Return for Electing Alaska Native Settle f1041-n--2017-12-00.pdf	Form
2017-1041-N-Burden.pdf 2017 Burden 1041-N	IC Document
1041-N-Burden-2017 28% wksheet.pdf 1041-N 28% Rate Gain Worksheet	IC Document
2017-1041-N-Burden unreac section 1250 wks.pdf 1041-N Unrec Sec 1250 Worksheet	IC Document
1041-N-Burden-2017Cap loss worksheet.pdf 1041-N Cap Loss Carryover Worksheet	IC Document

IC Title:

Form 1041-N - U.S. Income Tax Return for Electing Alaska Native Settlement Trusts

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	1041-N	U.S. Income Tax Return for Electing Alaska Native Settlement Trusts	f1041-n--2017-12-00.pdf		Yes	Yes	Fillable Printable
Instruction			i1041-n--2016-12-00.pdf		No		Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20	0	20
Annual IC Time Burden (Hours)	793	93	700
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2017 Burden 1041-N	2017-1041-N-Burden.pdf	11/17/2017
1041-N 28% Rate Gain Worksheet	1041-N-Burden-2017 28% wksheet.pdf	11/17/2017
1041-N Unrec Sec 1250 Worksheet	2017-1041-N-Burden unreac section 1250 wks.pdf	11/17/2017
1041-N Cap Loss Carryover Worksheet	1041-N-Burden-2017Cap loss worksheet.pdf	11/17/2017

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