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Federal forms, ICRs, and supporting documents

Information Collection Request

Form 14693 - Application for Reduced Rate of Withholding on Whistleblower Award Payment

ICR 201507-1545-019 · OMB 1545-2273 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 14693 Form 14693 - Application for Reduced Rate of Withholding on Whistleblower Award Payment Form and Instruction New Available
Expiration Explanation.doc Supplementary Document Uploaded 2015-08-03 Available
14693SS.doc Supporting Statement A Uploaded 2016-09-16 Available
IC Document Collections
IC IDCollectionTypeStatusForm
217497 Form 14693 - Application for Reduced Rate of Withholding on Whistleblower Award Payment Form and Instruction New
ICR Details
1545-2273 201507-1545-019
Historical Active
TREAS/IRS ready
Form 14693 - Application for Reduced Rate of Withholding on Whistleblower Award Payment
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/02/2017
Retrieve Notice of Action (NOA) 10/12/2016
  Inventory as of this Action Requested Previously Approved
01/31/2020 36 Months From Approved
100 0 0
75 0 0
0 0 0
The Application for Reduced Rate of Withholding on Whistleblower Award Payment will be used by the whistleblower to apply for a reduction in withholding to minimize the likelihood of the IRS over withholding tax from award payments providing whistleblowers with a pre-award payment opportunity to substantiate their relevant attorney fees and court costs. The Whistleblower Office will review and evaluate the form and calculate the rate.
US Code: 26 USC 7623(b) Name of Law: Awards to Whistleblowers
  
None
Not associated with rulemaking
  81 FR 48502 07/25/2016
81 FR 69571 10/06/2016
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 100 0 0 100 0 0
Annual Time Burden (Hours) 75 0 0 75 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new form
$0
No
No
No
No
No
Uncollected
Julia Mendez 202 317-5856
  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.
10/12/2016