OMB control number

Consumer Cooperative Exemption Application

OMB 1545-1941 ยท TREAS/IRS.

OMB 1545-1941

A cooperative uses Form 3491 to apply for exemption from filing information returns (Forms 1099-PATR) on patronage distributions of $10 or more to any person during the calendar year.

The latest form for Consumer Cooperative Exemption Application expires 2028-03-31 and is listed under ICR 202409-1545-012.