Information Collection

TD 9673 - Longevity Annuity Contracts

IC 201162 under ICR 202012-1545-003 · OMB 1545-2234.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2234 can be found here:

Documents and Forms

Document Name Document Type
Form 1098-Q TD 9673 - Longevity Annuity Contracts Form
Instr for Form 1098-q--2019-12-00.pdf Instruction
Instr for Form 1098-q--2019-12-00.pdf Instruction
2020 General Instructions for Certain Information Returns.pdf Other-General Inst Burden page
2020 General Instructions for Certain Information Returns.pdf Other-General Inst Burden page
1098-Q Qualifying Longevity Annuity Contract Information Form 1098-q--2019-12-00.pdf Form
1098-Q Qualifying Longevity Annuity Contract Information Form 1098-q--2019-12-00.pdf Form
REG-115809-11.pdf REG-115809-11 IC Document
REG-115809-11.pdf REG-115809-11 IC Document
TD 9673.pdf TD 9673 IC Document
TD 9673.pdf TD 9673 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TD 9673 - Longevity Annuity Contracts	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 1.401(a)(9)-6 26 CFR 1.6047-2

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1098-Q	Qualifying Longevity Annuity Contract Information	Form 1098-q--2019-12-00.pdf	Yes	Yes	Fillable Fileable
Instruction			Instr for Form 1098-q--2019-12-00.pdf	Yes	No	Printable Only
Other-General Inst Burden page			2020 General Instructions for Certain Information Returns.pdf	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 24.030 – Customer Account Data Engine (CADE) Individual Master File; IRS 24.046 - CADE Business Master File (BMF)	FR Citation: 80 FR 54064

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	213,966	213,966
Annual IC Time Burden (Hours)	28,529	28,529
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
REG-115809-11	REG-115809-11.pdf	12/03/2020
TD 9673	TD 9673.pdf	12/03/2020

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