CERTIFICATE OF EXEMPTION FROM WITHHOLDING ON INTEREST FOR INDIVIDUALS AND EXEMPT RECIPIENTS

ICR 198409-1535-009

OMB: 1535-0027

Federal Form Document

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Document
Name
Status
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IC Document Collections
ICR Details
1535-0027 198409-1535-009
Historical Active 198406-1535-001
TREAS/BPD
CERTIFICATE OF EXEMPTION FROM WITHHOLDING ON INTEREST FOR INDIVIDUALS AND EXEMPT RECIPIENTS
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/11/1984
Approved with change 09/11/1984
Retrieve Notice of Action (NOA) 09/11/1984
  Inventory as of this Action Requested Previously Approved
01/31/1985 01/31/1985 01/31/1985
6,000 0 60,000
1,000 0 10,000
0 0 0

ENABLES EXEMPT INDIVIDUALS AND RECIPIENTS TO FILE FOR EXEMPTION FROM O REVOKE A PREVIOUSLY FILED EXEMPTION WITHHOLDING ON INTEREST EARNED AS AUTHORIZED BY THE TAX EQUITY AND FISCAL RESPONSIBILITY ACT OF 1982. AUTHORIZED SUBSTITUTE FOKR FORM IRS-W6 AND FORM IRS-W7.

None
None


No

1
IC Title Form No. Form Name
CERTIFICATE OF EXEMPTION FROM WITHHOLDING ON INTEREST FOR INDIVIDUALS AND EXEMPT RECIPIENTS PD 5064

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,000 60,000 0 -54,000 0 0
Annual Time Burden (Hours) 1,000 10,000 0 -9,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/11/1984


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