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OMB Control No: 1545-2273	ICR Reference No: 202601-1545-008
Status: Received in OIRA	Previous ICR Reference No: 202303-1545-009
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Application for Reduced Rate of Withholding on Whistleblower Award Payment
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 05/29/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2026
Responses	10	100
Time Burden (Hours)	8	75
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	10	100	-90
Annual Time Burden (Hours)	8	75	-67
Annual Cost Burden (Dollars)	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 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).

Annual Cost to Federal Government: $19,152

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? No

Agency Contact: Rosemary Wooden 317 613-1958 rosemary.wooden@irs.gov

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