EARNED INCOME CREDIT ADVANCE PAYMENT CERTIFICATE

ICR 198106-1545-007

OMB: 1545-0011

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
127890 Migrated
ICR Details
1545-0011 198106-1545-007
Historical Inactive 198104-1545-011
TREAS/IRS
EARNED INCOME CREDIT ADVANCE PAYMENT CERTIFICATE
Revision of a currently approved collection   No
Regular
Not subject to PRA 08/04/1981
Retrieve Notice of Action (NOA) 06/29/1981
THIS CERTIFICATION IS NOT SUBJECT TO THE PROVISIONS OF P.L. 96-511 BECAUSE IT DOES NOT REQUIRE THE CERTIFIER TO PROVIDE ANY INFORMATION BEYOND CHECKING TWO BOXES AND IDENTIFYING HIM OR HER SELF. THIS DETERMINATION IS BASED ON THE UNDERSTANDING THAT THE WORKSHEET IS A FORM WHICH THE TAXPAYER NEED NOT COMPLETE AND RETAIN OR PROVIDE TO ANOTHER PARTY.
  Inventory as of this Action Requested Previously Approved
08/04/1981 12/31/1981
0 0 500
0 0 500
0 0 0

QUALIFIED EMPLOYEES CAN PREPARE AND FILE THIS FORM WITH EMPLOYERS TO ELECT TO RECEIVE ADVANCE EARNED INCOME CREDIT (EIC) PAYMENTS WITH THEI WAGES. THIS INFORMATION USED TO DETERMINE THE AMOUNT OF THE ADVANCE EIC PAYMENTS TO BE MADE.

None
None


No

1
IC Title Form No. Form Name
EARNED INCOME CREDIT ADVANCE PAYMENT CERTIFICATE W-5

No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/29/1981


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