Information Collection

Form 8849, Sch 5, Section 4081(e) Claims

IC 45393 under ICR 200609-1545-023 · OMB 1545-1420.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1420 can be found here:

Documents and Forms

Document Name Document Type
Form 8849 Schedule 5 Form 8849, Sch 5, Section 4081(e) Claims Form
8849 Schedule 5 Section 4081(e) Claims 06f8849s5_d1.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 8849, Sch 5, Section 4081(e) Claims	Agency IC Tracking Number:	LM-1545-1420-023

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 6301

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	8849 Schedule 5	Section 4081(e) Claims	06f8849s5_d1.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	3,850	3,850
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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