Exercise of an Incentive Stock Option Under...; Transfer of Stock Acquired Through an ...; REG-103146-08-Information Reporting Requirements Under Code Sec. 6039

Forms and Documents

Document Name	Status
Form 3922 Form 3922 - Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c). Form	Modified
Form 3921 Form 3921 - Exercise of an Incentive Stock Option Under Section 422(b). Form	Modified
ombat1.doc Supplementary Document	2008-09-16
SS_1545-2129_29NOV11.docx Supporting Statement A	2011-11-29

IC Document Collections

IC ID	Document Title	Status
186592	REG-103146-08-Information Reporting Requirements Under Internal Revenue Service Code Sec. 6039	Modified
186591	Form 3922 - Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c). Form	Modified
186590	Form 3921 - Exercise of an Incentive Stock Option Under Section 422(b). Form	Modified

ICR Details

OMB Control No: 1545-2129	ICR Reference No: 201111-1545-006
Status: Historical Active	Previous ICR Reference No: 201006-1545-005
Agency/Subagency: TREAS/IRS	Agency Tracking No: ah-2129-006
Title: Exercise of an Incentive Stock Option Under...; Transfer of Stock Acquired Through an ...; REG-103146-08-Information Reporting Requirements Under Code Sec. 6039
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/22/2011
	Date Received in OIRA: 11/29/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2014	36 Months From Approved	12/31/2011
Responses	51,000	0	51,000
Time Burden (Hours)	25,205	0	25,195
Cost Burden (Dollars)	0	0	0

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Abstract: Form 3921 is a copy of the information return filed with the IRS which transferred shares of stock to a recipient through exercise of an incentive stock option under section 422(b). Form 3922 is used to record a transfer of the legal title of a share of stock acquired by the employee where the stock was acquired pursuant to the exercise of an option described in section 423(c). REG-103146-08 - reflects the changes to section 6039 of the Internal Revenue Code made by section 403 of the Tax Relief and Health Care Act of 2006.

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Authorizing Statute(s): US Code: 26 USC 6039 Name of Law: Information required in connection with certain options
   PL: Pub.L. 109 - 432 403 Name of Law: Tax Relief and Health Care Act of 2006
   US Code: 26 USC 7805 Name of Law: Rules and regulations
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 49539	08/10/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 73017	11/28/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
REG-103146-08-Information Reporting Requirements Under Internal Revenue Service Code Sec. 6039
Form 3921 - Exercise of an Incentive Stock Option Under Section 422(b).	3921	Exercise of an Incentive Stock Option Under Section 422(b).
Form 3922 - Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c).	3922	Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under Section 423(c).

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ICR Summary of Burden

	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	51,000	51,000	0	0	0	0
Annual Time Burden (Hours)	25,205	25,195	0	10	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: A box was added to show the exercise price per share determined as if the option was exercised on the date the option was granted. This results in a net burden increase of 10 hours.

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Annual Cost to Federal Government: $6,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/29/2011

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