View Information Collection (IC)

View Information Collection (IC)

IC Title:	Form 8849, Sch 5, Section 4081(e) Claims	Agency IC Tracking Number:	rt-1420-009

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 301.6402 26 CFR 301.6404

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Schedule 5 (Form 8849)	Section 4081 (e) Claims	Form 8849 (Sch. 5).pdf	http://www.irs.gov/pub/irs-pdf/f8849s5.pdf	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 239	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	239	0	0	0	0	239
Annual IC Time Burden (Hours)	921	0	0	0	0	921
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
2014 Burden for form8849 SCH5	Form 8849 (Sch. 5) brdn.pdf	08/07/2014

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