Information Collection

Consumer Cooperative Exemption Application

IC 19659 under ICR 201802-1545-008 · OMB 1545-1941.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1941 can be found here:

Documents and Forms

Document Name Document Type
Form 3491 Consumer Cooperative Exemption Application Form and Instruction
3491 Consumer Cooperative Exemption Application Form 3491.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consumer Cooperative Exemption Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3491	Consumer Cooperative Exemption Application	Form 3491.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	148	148
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.