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Federal forms, ICRs, and supporting documents

Information Collection Request

PENSION, ANNUITY, OR SICK PAY RECIPIENT'S REQUEST FOR FEDERAL INCOME TAX WITHHOLDING

ICR 198108-1545-209 · OMB 1545-0415 · Historical Active

Forms and Documents
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No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
129870 PENSION, ANNUITY, OR SICK PAY RECIPIENT'S REQUEST FOR FEDERAL INCOME TAX WITHHOLDING Form Migrated
ICR Details
1545-0415 198108-1545-209
Historical Active
TREAS/IRS
PENSION, ANNUITY, OR SICK PAY RECIPIENT'S REQUEST FOR FEDERAL INCOME TAX WITHHOLDING
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/05/1981
Retrieve Notice of Action (NOA) 08/25/1981
  Inventory as of this Action Requested Previously Approved
10/31/1984 10/31/1984
517,790 0 0
198,831 0 0
0 0 0
SECTION 3402(O) OF THE CODE PERMITS A PENSION, ANNUITY, OR SICK PAY RECIPIENT TO REQUEST VOLUNTARY WITHHOLDING FROM PENSIONS, ANNUITIES, O THIRD-PARTY SICK PAY. THIS INFORMATION IS USEE TO DETERMINE THE AMOUNT TO BE WITHHELD FROM EACH PENSION, ANUITY, OR THIRD-PARTY SICK PAY PAYMENT.
None
None
No
1
IC Title Form No. Form Name
PENSION, ANNUITY, OR SICK PAY RECIPIENT'S REQUEST FOR FEDERAL INCOME TAX WITHHOLDING W-4P
  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 517,790 0 0 0 517,790 0
Annual Time Burden (Hours) 198,831 0 0 0 198,831 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$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.
08/25/1981