Form 11-C -- Occupational Tax and Registration Return for Wagering

ICR 201909-1545-005

OMB: 1545-0236

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2019-09-18
IC Document Collections
ICR Details
1545-0236 201909-1545-005
Active 201607-1545-003
TREAS/IRS
Form 11-C -- Occupational Tax and Registration Return for Wagering
Extension without change of a currently approved collection   No
Regular
Approved without change 02/12/2020
Retrieve Notice of Action (NOA) 12/27/2019
  Inventory as of this Action Requested Previously Approved
02/28/2023 36 Months From Approved 02/29/2020
11,500 0 11,500
81,190 0 81,190
0 0 0

Form 11-C is used to register persons accepting wagers (IRC section 4412). IRS uses this form to register the respondent, collect the annual stamp tax (IRC section 4411), and to verify that the tax on wagers is reported on Form 730.

US Code: 26 USC 501 Name of Law: Exemption from tax on corporations, certain trusts, etc.
   US Code: 26 USC 6103 Name of Law: Confidentiality and disclosure of returns and return information
   US Code: 26 USC 4401 Name of Law: Imposition of tax
  
None

Not associated with rulemaking

  84 FR 39890 08/12/2019
84 FR 70269 12/27/2019
No

1
IC Title Form No. Form Name
Form 11-C - Occupational Tax and Registration Return for Wagering 11-C Occupational Tax and Registration Return for Wagering

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 11,500 11,500 0 0 0 0
Annual Time Burden (Hours) 81,190 81,190 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$18,955
No
    Yes
    Yes
No
No
No
Uncollected
Michael Cyrus 202 927-9545

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/27/2019


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