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Federal forms, ICRs, and supporting documents

Information Collection Request

Form 11-C---Occupational Tax and Registration Return for Wagering

ICR 201304-1545-021 · OMB 1545-0236 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 11-C Occupational Tax and Registration Return for Wagering Form and Instruction Modified Available
ombat1.doc Supplementary Document Uploaded 2013-04-16 Repair queued
Supporting Statement.doc Supporting Statement A Uploaded 2013-04-16 Available
IC Document Collections
IC IDCollectionTypeStatusForm
17179 Occupational Tax and Registration Return for Wagering Form and Instruction Modified
ICR Details
1545-0236 201304-1545-021
Historical Active 201202-1545-001
TREAS/IRS
Form 11-C---Occupational Tax and Registration Return for Wagering
Extension without change of a currently approved collection   No
Regular
Approved without change 07/23/2013
Retrieve Notice of Action (NOA) 05/21/2013
  Inventory as of this Action Requested Previously Approved
07/31/2016 36 Months From Approved 07/31/2013
11,500 0 11,500
81,190 0 81,190
0 0 0
Form 11-C is used to register persons accepting wagers (IRC section 4412). IRS uses this form to register the respondent, collect the annual stamp tax (IRC section 4411), and to verify that the tax on wagers is reported on Form 730.
US Code: 26 USC 501 Name of Law: Exemption from tax on corporations, certain trusts, etc.
  
None
Not associated with rulemaking
  77 FR 63423 10/16/2012
78 FR 29812 05/21/2013
No
1
IC Title Form No. Form Name
Occupational Tax and Registration Return for Wagering 11-C Occupational Tax and Registration Return for Wagering
  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 11,500 11,500 0 0 0 0
Annual Time Burden (Hours) 81,190 81,190 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$980
No
No
No
No
No
Uncollected
Michael Ecker 202 622-3144
  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.
05/21/2013