Form 1099-DIV--Dividends and Distributions

Forms and Documents

Document Name	Status
Form 1099-DIV Form 1099-DIV--Dividends and Distributions Form	Modified
Supporting Statement.doc Supporting Statement A	2014-11-12

IC Document Collections

IC ID	Document Title	Status
16922	Form 1099-DIV--Dividends and Distributions Form	Modified

ICR Details

OMB Control No: 1545-0110	ICR Reference No: 201411-1545-005
Status: Historical Active	Previous ICR Reference No: 201111-1545-009
Agency/Subagency: TREAS/IRS	Agency Tracking No: Ready
Title: Form 1099-DIV--Dividends and Distributions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/20/2015
	Date Received in OIRA: 12/31/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2018	36 Months From Approved	11/30/2015
Responses	87,476,600	0	111,922,150
Time Burden (Hours)	34,115,874	0	34,695,867
Cost Burden (Dollars)	0	0	0

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Abstract: The Form 1099-DIV is used by the Service to insure that dividends are properly reported as required by Code section 6042 and that liquidation distributions are correctly reported as required by Code section 6043, and to determine whether payees are correctly reporting their income.

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Authorizing Statute(s): US Code: 26 USC 6043 Name of Law: Liquidating, etc., transactions.
   US Code: 26 USC 6042 Name of Law: Returns regarding payments of dividends and corporate earnings and profits.
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 56435	09/19/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 78566	12/30/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Form 1099-DIV--Dividends and Distributions	1099-DIV	Dividends and Distributions

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ICR Summary of Burden

	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	87,476,600	111,922,150	0	0	-24,445,550	0
Annual Time Burden (Hours)	34,115,874	34,695,867	0	0	-579,993	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There are additional line items being added to this form in order to capture state income tax withheld. This change is made at the request of several state income tax department liaisons, for the convenience of the taxpayer. These boxes are optional, will not be processed by the IRS, and are offered exclusively for the convenience of the taxpayer. There is also a change in the updated filing estimates in response to this Form. The decrease in estimated filing figures offsets the increase in burden, resulting in a total burden decrease of 579,993 hours.

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Annual Cost to Federal Government: $343,854

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/31/2014

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