Qualified Dividends Tax Worksheet

U.S. Income Tax Return for Estates and Trusts

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0092 can be found here:

Documents and Forms

Document Name Document Type
Form 1041 Instr - Qual Div Tax Wrksht.pdf Other-Worksheet
Form 1041 Instr - Qual Div Tax Wrksht - 2009 burden.PDF 2009 burden estimates IC Document

Information Collection (IC) Details

IC Title:	Qualified Dividends Tax Worksheet	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Worksheet			Form 1041 Instr - Qual Div Tax Wrksht.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	30,000	30,000
Annual IC Time Burden (Hours)	131,100	131,100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2009 burden estimates	Form 1041 Instr - Qual Div Tax Wrksht - 2009 burden.PDF	11/16/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.