CASUALTIES AND THEFTS

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
129094	CASUALTIES AND THEFTS Form	Migrated

ICR Details

OMB Control No: 1545-0177	ICR Reference No: 198110-1545-030
Status: Historical Active	Previous ICR Reference No: 198107-1545-016
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: CASUALTIES AND THEFTS
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: 10/30/1981
	Date Received in OIRA: 10/02/1981
Terms of Clearance: This request for clearance is approved for use only during tax year 1981 and for use with respect to 1981 collections in subsequent years. This approval does not apply to any other tax year form. Any request for such approval must be accompanied by an analysis showing which data elements, if any, are not entered into the irs computer system, the necessity for requiring the reporting of these data and the consequences, if any, of not collecting the data. if the noncomputerized data are essential to the revenue collection process, the department is to consider requiring those data from either or both a preselected group of taxpayers with past history's of casualty or theft deductions and from those taxpayers whose current year data suggest that their return should be audited. Since this form may be used in a number of years with respect to the collection of 1981 revenue, the omb expiration date need not be printe on the form.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/1982	11/30/1982	11/30/1982
Responses	2,502,650	0	2,002,650
Time Burden (Hours)	1,920,033	0	1,484,965
Cost Burden (Dollars)	0	0	0

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Abstract: FORM 4684 IS USED BY TAXPAYERS TO COMPUTE THEIR GAIN OR LOSS FROM CASUALTY OR THEFT AND TO SUMMARIZE SUCH GAINS AND LOSSES. THE DATA IS USED TO VERIFY THAT THE CORRECT GAIN OR LOSS HAS BEEN REPORTED.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
CASUALTIES AND THEFTS	4684

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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	2,502,650	2,002,650	0	500,000	0	0
Annual Time Burden (Hours)	1,920,033	1,484,965	0	435,068	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 10/02/1981

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