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.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 3491 Consumer Cooperative Exemption Application | Form and Instruction |
 SUP STAT (Form 3491) 1545-1941.docx | Supporting Statement A |
 Consumer Cooperative Exemption Application |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202409-1545-012 | Extension without change of a currently approved collection | 2024-12-20 | ||
| 202105-1545-014 | Extension without change of a currently approved collection | 2021-10-29 | Approved without change | |
| 201802-1545-008 | Extension without change of a currently approved collection | 2018-07-24 | Approved without change | |
| 201501-1545-002 | Extension without change of a currently approved collection | 2015-03-31 | Approved without change | |
| 201112-1545-021 | Extension without change of a currently approved collection | 2011-12-29 | Approved without change | |
| 200810-1545-003 | Extension without change of a currently approved collection | 2008-11-14 | Approved without change | |
| 200509-1545-008 | Extension without change of a currently approved collection | 2005-09-07 | Approved without change | |
| 200504-1545-002 | Existing collection in use without an OMB Control Number | 2005-04-01 | Approved without change |