OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Reduced Rate of Withholding on Whistleblower Award Payment

ICR 202601-1545-008 · OMB 1545-2273 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 14693 Application for Reduced Rate of Withholding on Whistleblower Award Payment Form and Instruction Modified Available
SUP STAT Form 14693 (c) 1545-2273.docx Supporting Statement A Uploaded 2026-05-15 Available
IC Document Collections
IC IDCollectionTypeStatusForm
217497 Form 14693 - Application for Reduced Rate of Withholding on Whistleblower Award Payment Form and Instruction ModifiedApplication for Reduced Rate of Withholding on Whistleblower Award Payment
ICR Details
1545-2273 202601-1545-008
Received in OIRA 202303-1545-009
TREAS/IRS
Application for Reduced Rate of Withholding on Whistleblower Award Payment
Extension without change of a currently approved collection   No
Regular 05/29/2026
  Requested Previously Approved
36 Months From Approved 06/30/2026
10 100
8 75
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
  91 FR 2435 01/20/2026
91 FR 31861 05/28/2026
No
  Total Request 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 10 100 0 0 -90 0
Annual Time Burden (Hours) 8 75 0 0 -67 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There is no change in the form that affects paperwork burden previously approved by OMB. However, the IRS is making a change to the number of respondents/responses due to recent filing data, resulting in a decrease of 90 responses (from 100 to 10) and overall annual burden of 67 hours (75 hours to 8 hours).
$19,152
No
    Yes
    Yes
No
No
No
No
Rosemary Wooden 317 613-1958 [email protected]
  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.
05/29/2026