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Form 3921 - Exercise of an Incentive Stock Option Under Section 422(b).
Information Reporting Requirements Under Code Sec. 6039
OMB: 1545-2129
IC ID: 186590
OMB.report
TREAS/IRS
OMB 1545-2129
ICR 202405-1545-003
IC 186590
( )
Documents and Forms
Document Name
Document Type
Form 3921
Form 3921 - Exercise of an Incentive Stock Option Under Section 422(b).
Form
Instructions (Forms 3921 and 3922).pdf
Instruction
Instructions (Forms 3921 and 3922).pdf
Instruction
Burden info from instructions i1099-general--2024-00-00 (1).pdf
Other-General Instructions
Burden info from instructions i1099-general--2024-00-00 (1).pdf
Other-General Instructions
3921 Excise of an Incentive Stock Option Under Section 422(b)
f3921--2024-10-00_draft.pdf
Form
3921 Excise of an Incentive Stock Option Under Section 422(b)
f3921--2024-10-00_draft.pdf
Form
2024-3921-Burden-2024-02-28 10-11-02.pdf
2024 Burden Computation
IC Document
2024-3921-Burden-2024-02-28 10-11-02.pdf
2024 Burden Computation
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Form 3921 - Exercise of an Incentive Stock Option Under Section 422(b).
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
26 CFR 1.6039-2
26 CFR 1.6039-1
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
3921
Excise of an Incentive Stock Option Under Section 422(b)
f3921--2024-10-00_draft.pdf
Yes
Yes
Fillable Fileable
Instruction
Instructions (Forms 3921 and 3922).pdf
Yes
No
Printable Only
Other-General Instructions
Burden info from instructions i1099-general--2024-00-00 (1).pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Taxation Management
Privacy Act System of Records
Title:
IRS 22.061—Wage and Information Return Processing Individual Master File, formerly Individual Master File, and IRS 34.037--IRS Audit Trail and Security Records System
FR Citation:
80 FR 54064
Number of Respondents:
383,540
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
99 %
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
383,540
0
0
383,040
0
500
Annual IC Time Burden (Hours)
72,873
0
0
72,778
0
95
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
2024 Burden Computation
2024-3921-Burden-2024-02-28 10-11-02.pdf
05/02/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.