Information Collection

Withholding On Items Of Income Covered By An Income Tax Convention

IC 128200 under ICR 198408-1545-022 · OMB 1545-0055.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	WITHHOLDING ON ITEMS OF INCOME COVERED BY AN INCOME TAX CONVENTION	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,001	1	2,000
Annual IC Time Burden (Hours)	1,567	1	1,566
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.