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Tax on Lump-Sum Distributions (From Qualified Retirement Plans of Plan Participants Born Before 1936)
Form 4972---Tax on Lump-Sum Distributions (From Qualified Retirement Plans of Plan Participants Born Before 1936)
OMB: 1545-0193
IC ID: 39687
OMB.report
TREAS/IRS
OMB 1545-0193
ICR 202203-1545-023
IC 39687
( )
Documents and Forms
Document Name
Document Type
Form FORM 4972
Tax on Lump-Sum Distributions (From Qualified Retirement Plans of Plan Participants Born Before 1936)
Form and Instruction
FORM 4972 Tax on Lump-Sum Distributions
f4972--2021-00-00.pdf
www.irs.gov/pub/irs-pdf/f4972.pdf
Form and Instruction
FORM 4972 Tax on Lump-Sum Distributions
f4972--2021-00-00.pdf
www.irs.gov/pub/irs-pdf/f4972.pdf
Form and Instruction
2022-4972-Burden-2022-04-28 08-25-40.pdf
2022 Burden
IC Document
2022-4972-Burden-2022-04-28 08-25-40.pdf
2022 Burden
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Tax on Lump-Sum Distributions (From Qualified Retirement Plans of Plan Participants Born Before 1936)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
26 CFR 11.402(e)(4)(A)
26 CFR 11.402(e)(4)(B)
26 CFR 1.402(e)-2, 3, 14
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FORM 4972
Tax on Lump-Sum Distributions
f4972--2021-00-00.pdf
https://www.irs.gov/pub/irs-pdf/f4972.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Taxation Management
Privacy Act System of Records
Title:
IRS 24.030--Customer Account Data Engine Individual Master File
FR Citation:
83 FR 42980
Number of Respondents:
5,601
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
16 %
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
5,601
0
0
-12,119
0
17,720
Annual IC Time Burden (Hours)
24,644
0
0
-53,324
0
77,968
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
2022 Burden
2022-4972-Burden-2022-04-28 08-25-40.pdf
04/28/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.