Earned Income Credit Advance Payment Certificate

ICR 200112-1545-030

OMB: 1545-1342

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
40110 Migrated
ICR Details
1545-1342 200112-1545-030
Historical Active 200106-1545-007
TREAS/IRS
Earned Income Credit Advance Payment Certificate
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/06/2001
Retrieve Notice of Action (NOA) 12/06/2001
  Inventory as of this Action Requested Previously Approved
08/31/2004 08/31/2004 08/31/2004
183,450 0 183,450
143,091 0 137,588
0 0 0

Form W-5 is used by employees to see if they are eligible for the earned income credit and to request part of the credit in advance with their pay. Eligible employees who want advance payments must give Form W-5 to their employers.

None
None


No

1
IC Title Form No. Form Name
Earned Income Credit Advance Payment Certificate W-5

  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 183,450 183,450 0 0 0 0
Annual Time Burden (Hours) 143,091 137,588 0 5,503 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
12/06/2001


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