Form 1099-DIV--Dividends and Distributions

Forms and Documents

Document Name	Status
Form 1099-DIV Form 1099-DIV--Dividends and Distributions Form	Modified
2018-09-06_SS_1545-0110rSC.doc Supporting Statement A	2018-09-06

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: 201808-1545-007
Status: Historical Active	Previous ICR Reference No: 201411-1545-005
Agency/Subagency: TREAS/IRS	Agency Tracking No:
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: 12/20/2018
	Date Received in OIRA: 10/30/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	12/31/2018
Responses	78,339,500	0	87,476,600
Time Burden (Hours)	32,119,195	0	34,115,874
Cost Burden (Dollars)	0	0	0

---

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.

---

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

Citations for New Statutory Requirements: PL: Pub.L. 115 - 97 11045 Name of Law: SUSPENSION OF MISCELLANEOUS ITEMIZED DEDUCTIONS

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 23998	05/23/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 52614	10/17/2018
Did the Agency receive public comments on this ICR? No

---

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

---

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	78,339,500	87,476,600	0	0	-9,137,100	0
Annual Time Burden (Hours)	32,119,195	34,115,874	1,566,790	0	-3,563,469	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: On pages 1, 2, 3, 5, and 6 we added a new Box 5 “Section 199A REIT dividends” and a $ sign. This new box is needed to help the recipients calculate the deduction they may be allowed under Sec 199A as qualified business income. As a result boxes 5 through 14 were renumbered to 6 through 15. This has increased the burden by a total of 1,566,790 total annual hours. There is also a change in the updated filing estimates in response to this Form. Filings decreased from 87,476,600 to 78,339,500 a decrease of 9,137,100 filings and resulting in a decrease of total burden hours of 3,563,469. The decrease in estimated filing figures offsets the increase in burden, resulting in a total burden decrease of (1,996,679) hours.

---

Annual Cost to Federal Government: $116,648

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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

---

Common Form ICR:  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:

(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: 10/30/2018

---