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Federal forms, ICRs, and supporting documents

Information Collection Request

Form 8937, Report of Organizational Actions Affecting Basis of Securities

ICR 201107-1545-003 · OMB 1545-2224 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 8937 Form 8937, Report of Organizational Actions Affecting Basis of Securities Form and Instruction New Available
Expiration Explanation.rtf Supplementary Document Uploaded 2011-07-12 Available
Supporting Statement OMB FORM (8937).doc Supporting Statement A Uploaded 2011-07-12 Available
IC Document Collections
IC IDCollectionTypeStatusForm
198455 Form 8937, Report of Organizational Actions Affecting Basis of Securities Form and Instruction New
ICR Details
1545-2224 201107-1545-003
Historical Active
TREAS/IRS ah-XXXX-003
Form 8937, Report of Organizational Actions Affecting Basis of Securities
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/29/2011
Retrieve Notice of Action (NOA) 11/21/2011
  Inventory as of this Action Requested Previously Approved
12/31/2014 36 Months From Approved
50,000 0 0
206,500 0 0
0 0 0
Organizational actions that affect the basis of stock will be reported on this form. This form will be sent to stock holders of record and nominees affected.
US Code: 26 USC 6045B Name of Law: Returns relating to actions affecting basis of specified securities.
  
None
Not associated with rulemaking
  76 FR 23645 04/27/2011
76 FR 71621 11/18/2011
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 50,000 0 0 50,000 0 0
Annual Time Burden (Hours) 206,500 0 0 206,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new form. IRC section 6045B and Treasury regulations section 1.6045B-1 require the issuers of specified securities to report organizational actions that affect basis of those securities. This results in a burden increase of 206,500 hours.
$0
No
No
No
No
No
Uncollected
Janice Martin 202 622-3312
  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.
11/21/2011