Information Collection

Consent of Shareholder to Include Specific Amount in Gross Income

IC 39400 under ICR 201909-1545-009 · OMB 1545-0043.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 972
Consent of Shareholder to Include Specific Amount in Gross Income
Form and Instruction
972 Consent of Shareholder To Include Specific Amount in Gro
f972--2016.pdf
Form and Instruction
2019-972-Burden-2019-09-18.pdf
Burden 2019 form 972
IC Document

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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 972 Consent of Shareholder To Include Specific Amount in Gross Income f972--2016.pdf Yes No Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 100 0 0 0 0 100
Annual IC Time Burden (Hours) 385 0 0 0 0 385
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Burden 2019 form 972 2019-972-Burden-2019-09-18.pdf 09/18/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.