OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Statement by Person(s) Receiving Gambling Winnings

IC 43856 under ICR 202505-1545-018 · OMB 1545-0239.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form Form 5754
Statement by Person(s) Receiving Gambling Winnings		 Form and Instruction
Form Form 5754
Statement by Person(s) Receiving Gambling Winnings Statement by Person(s) Receiving Gambling Winnings		 Form and Instruction
Form 5754 Statement by Person(s) Receiving Gambling Winnings
Form 5754 rev Nov 2024.pdf 		Form and Instruction
Form 5754 Statement by Person(s) Receiving Gambling Winnings
Form 5754 rev Nov 2024.pdf 		Form and Instruction
TD 7919.pdf
TD 7919		IC Document
TD 7919.pdf
TD 7919		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 Form 5754 Yes Yes Fillable Fileable

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 204,000 0 0 0 0 204,000
Annual IC Time Burden (Hours) 40,800 0 0 0 0 40,800
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
TD 7919 03/15/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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