Information Collection

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

IC 17179 under ICR 202212-1545-003 · OMB 1545-0236.

⚠️ Notice: This information collection may be referencing outdated material.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

2026-05-29 - Extension without change of a currently approved collection

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 (4).pdf	Form and Instruction
11-C Occupational Tax and Registration Return for Wagering f11-c--2017-12-00 (4).pdf	Form and Instruction

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 (4).pdf		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
No associated records found

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