Information Collection

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

IC 17179 under ICR 201909-1545-005 · OMB 1545-0236.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0236 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 11-C Form 11-C - Occupational Tax and Registration Return for Wagering	Form and Instruction
11-C Occupational Tax and Registration Return for Wagering f11-c--2017-12-00.pdf.wnmesid.partial	Form and Instruction
brdn_busi (Form 11-C).PDF Burden	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 44.4411-1 26 CFR 44.4412-1 26 CFR 44.4901-1 26 CFR 44.6091-1(c) 26 CFR 44.4905-1 and 2 26 CFR 44.6011(a)-1(b) 26 CFR 44.6071-1(b)

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 and Instruction	11-C	Occupational Tax and Registration Return for Wagering	f11-c--2017-12-00.pdf.wnmesid.partial		Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: 24.030âCustomer Account Data Engine Individual Master File; Treasury/IRS 24.046-Business Master File and IRS 34.037âIRS Audit Trail and Security Records System

FR Citation: 83 FR 42980

Number of Respondents: 11,500

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	Previously Approved
Annual Number of Responses for this IC	11,500	11,500
Annual IC Time Burden (Hours)	81,190	81,190
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden	brdn_busi (Form 11-C).PDF	07/07/2016

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