Form 3921 - Exercise of an Incentive Stock Option Under Section 422(b).

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2129 can be found here:

Documents and Forms

Document Name Document Type
Form 3921 Form 3921 - Exercise of an Incentive Stock Option Under Section 422(b). Form
3921,3922inst.pdf Instruction
3921 Exercise of an Incentive Stock Option Under Section 422( 3921.pdf Form
3921burden.PDF burden IC Document

Information Collection (IC) Details

IC Title:	Form 3921 - Exercise of an Incentive Stock Option Under Section 422(b).	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form	3921	Exercise of an Incentive Stock Option Under Section 422(b).	3921.pdf		Yes	Yes	Fillable Fileable
Instruction			3921,3922inst.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	95	95
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
burden	3921burden.PDF	11/07/2011

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