Form 8935 - Airplane Payments Report

ICR 201211-1545-013

OMB: 1545-2140

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form
Modified
Supplementary Document
2009-02-23
Supporting Statement A
2012-11-14
IC Document Collections
ICR Details
1545-2140 201211-1545-013
Historical Active 200909-1545-010
TREAS/IRS ah-2140-013
Form 8935 - Airplane Payments Report
Extension without change of a currently approved collection   No
Regular
Approved without change 12/30/2012
Retrieve Notice of Action (NOA) 11/29/2012
  Inventory as of this Action Requested Previously Approved
12/31/2015 36 Months From Approved 12/31/2012
40 0 40
44 0 44
0 0 0

Form 8935 will provide to the employee, current or former, the amount of the payment that was received from the airline that is eligible for rollover treatment into a Roth IRA. Form 8935-T is a transmittal form developed for filing information reporting Forms 8935, Airline Payments Reports, with the Service via paper filing.

PL: Pub.L. 110 - 458 125 Name of Law: WORKER, RETIREE, AND EMPLOYER RECOVERY ACT OF 2008
  
None

Not associated with rulemaking

  77 FR 57191 09/17/2012
77 FR 71208 11/29/2012
No

  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 40 40 0 0 0 0
Annual Time Burden (Hours) 44 44 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$5,000
No
No
No
No
No
Uncollected
Melody Devoe 2022837635

  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.
11/29/2012


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