U.S. Individual Income Tax Return

Forms and Documents

Document Name	Status
Form 8919 Uncollected Social Security and Medicare Tax on Wages Form and Instruction	New
Form 1040-EZ U.S. Individual Income Tax Return Form and Instruction	Modified
Justification Statement.doc Justification for No Material/Nonsubstantive Change	2007-04-05
8919[1].Sup.doc Supporting Statement A	0000-00-00

IC Document Collections

IC ID	Document Title	Status
179556	Uncollected Social Security and Medicare Tax on Wages Form and Instruction	New
16870	U.S. Individual Income Tax Return Form and Instruction	Modified

ICR Details

OMB Control No: 1545-0074	ICR Reference No: 200703-1545-039
Status: Historical Active	Previous ICR Reference No: 200611-1545-011
Agency/Subagency: TREAS/IRS	Agency Tracking No: LM-1545-0074
Title: U.S. Individual Income Tax Return
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/16/2007
	Date Received in OIRA: 04/12/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2007	12/31/2007	12/31/2007
Responses	136,260,300	0	135,890,300
Time Burden (Hours)	3,309,800,001	0	3,309,800,000
Cost Burden (Dollars)	30,125,044,991	0	30,125,044,991

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Abstract: These forms and schedules are used by individuals to report their income tax liability. The data is used to verify that the items reported on the forms are correct, and also for general statistical use. Form 8919 has been added to this ICR. Due to legislative and internal review procedures this form was unable to be included in the original 60-day notice issued to the general public through the Federal Register.

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Authorizing Statute(s): PL: Pub.L. 108 - 357 1 Name of Law: American Jobs Creation Act of 2004
  

Citations for New Statutory Requirements: PL: Pub.L. 108 - 357 1 Name of Law: American Jobs Creation Act of 2004

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 44075	08/03/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 76427	12/20/2006
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
U.S. Individual Income Tax Return	Schedule A&B 1040, 4952, Schedule A 8836, 4970, Schedule A 8609, 5329, Schedule 3 1040A, 5695, 5713, Schedule 2 1040A, 2350 SP, Schedule 1 1040A, 4562, Schedule B 5713, 4797, 4835, Schedule O 8865, Schedule O 5471, Schedule N 5471, Schedule M 8858, Schedule M 5471, Schedule K-1 8865, Schedule J 5471, Schedule H 1040, Schedule F 1040, Schedule EIC 1040, Schedule E 1040, Schedule D 1040, Schedule D-1 1040, T (Timber), SS-8, SS-4, Schedule SE 1040, Schedule R 1040, Schedule R 1040, Schedule P 8865, Schedule C-EZ 1040, 3903, Schedule C 5713, 4070, 4070A, Schedule C 1040, 4136, Schedule B 8836, 1040, 1040-A, 1040ES (NR), 1040-ES(OCR), 1040-ES-E, 1040-EZ, 8697, 8900, 8801, 8814, 8906, 8818, 8901, 5695, 4255, 4137, 4361, 4563, 4684, 4852, 4868, 4868(SP), 4972, 5074, 5213, 2350(SP), 5471, 5754, 8919, 8611, 8615, 8911, 8621, 8910, 8861, 8878-SP, 3520, 8862, 8621-A, 8908, 8689, 8693, 8907, 8812, 8820, 8821, 8822, 8898, 8824, 8896, 8826, 8889, 8828, 8832, 8829, 8830, 8888, 8886, 8832, 8836-SP, 8833, 8838, 8839, 8843, 8834, 8840, 8835, 8836, 8844, 8845, 8846, 8847, 8853, 8854, 8858, 8859, 8860, Schedule A 5713, 8903, 8815, 8275, 8275-R, 8283, 8332, 8885, 4029, Schedule J 1040, 6198, 6251, 6252, 9465-SP, 2439, 6478, 9465, 8379, 8396, 2441, 6765, 8915, 6781, 8082, 8271, 8453, 8453-OL, 2555, 2555EZ, 8582, 2848, 8582-CR, 3115, 8586, 3468, 8594, 8914, 8606, 8913, W-4, 3800, 8864, 8878-SP, 8901, 8844, 8863, 8866, 8879-SP, 8873, 5884, 8881, 8878, 8882, 1040V, 1040 NR, 1040 NR-EZ, 1040-V OCR, 1040 V OCR-ES, 1040 X, 1045, 1116, 1228, 1310, 2106, 2106-EZ, 2120, 2210, 2210F, 2350, W-7A, W-7(SP), W-7, W-5(SP), W-5, W-4V, W-4S, W-4P, W-4(SP), 8865, 8879, 8880, 8874	Income Tax Return for Single and Joint Filers With No Dependent ,   U .S. Nonresident Alien Income Tax Return ,   U .S. Nonresident Alien Income Tax Return ,   P ayment Voucher ,   P ayment Voucher ,   P ayment Voucher ,   Amended U.S. Individual Income Tax Return ,   Application for Tentative Refund ,   E mployee Business Expenses ,   E mployee Business Expenses ,   Multiple Support Declaration ,   Underpayment of Estimated Tax by Individuals, Estates and Trusts ,   Foreign Tax Credit ,   Application to Adopt, Change or Retain a Tax Year ,   Statement of Person Claiming Refund Due a Deceased Taxpayer ,   Underpayment of Estimated Tax By Farmers and Fishermen ,   Application for Extension of Time To File U.S. Income Tax Return ,   Application for Taxpayer Identification Number for Pending U.S. Adoptions ,   Solicitud de Numero de Identicacion Personal del Contribuyente del Servicio de Impuestos Internos ,   Application for IRS Individual Taxpayer Identification Number ,   Forma W-5(SP) ,   Form W-5 ,   Voluntary Withholding Request ,   Request for Federal Income Tax Withholding from Sick Pay ,   Withholding Certificate for Pension or Annuity Payments ,   Forma W-4(SP) ,   Employee's Withholding Allowance Certificate ,   Forest Activities Schedule ,   Determination of Worker Status for Purposes of Federal Employment Taxes and Income Tax Withholding ,   Application for Employer Identification Number ,   Self-Employment Tax ,   Credit for the Elderly or the Disabled ,   Third Party Affidavit ,   Recapture of Investment Credit ,   Application for Exemption From Self-Employment Tax for Use By Ministers. Members of Religious Orders and Christian Science Practitioners ,   Depreciation and Amortization ,   Exclusion of Income for Bona Fide Residents of American Samoa ,   Casualties and Thefts ,   Specifically Attributable Taxes and Income (Section 999(c)(2)) ,   Sales of Business Property ,   Farm Rental Income and Expenses ,   Substitute for Form W-2, Wage and Tax Statement or Form 1099R, Distribution From Pensions and Annuities, Retirement or Profit-Sharing Plans ,   Schedule A - Itemized Deductions, Schedule B - Interest and Ordinary Dividends ,   Application for Automatic Extension of Time to File U.S. Individual Income Tax Return ,   Application for Automatic Extension of Time to File U.S. Individual Income Tax Return (Spanish version) ,   Investment Interest Expense Deduction ,   General Business Credit ,   Third Party Affidavit ,   Tax on Accumulation Distribution of Trusts ,   Tax on Lump-Sum Distributions ,   Allocation of Individual Income Tax to Guam or the Commonwealth of the Northern Mariana Islands (CNMI) ,   Annual Statement ,   Election to Postpone Determination As to Whether the Presumtion Applies That an Activity is Engaged and For Profit ,   Application For Extension of Time to File U.S. Income Tax Return (Spanish version) ,   Additional Taxes on Qualified Plans (Including IRAs) and Other Tax-Favored Accounts ,   International Boycott Factor (Section 999(c)(1)) ,   Information Return of U.S. Persons With Respect to Certain Foreign Corporations ,   Credit for the Elderly or the Disabled for Form 1040A Filers ,   Information on Qualifying Children Who Are Not Dependents (For Child Tax Credit Only) ,   Tax Information Authorization ,   Qualified Railroad Track Maintenance Credit ,   Change of Address ,   Statement for Individuals Who Begin or End Bona Fide Residence in a U.S. Possession ,   Like-Kind Exchanges ,   Low Sulfur Diesel Fuel Production Credit ,   Disabled Access Credit ,   Health Savings Accounts (HSAs) ,   Recapture of Federal Mortgage Subsidy ,   Expenses for Business Use of Your Home ,   Enhanced Oil Recovery Credit ,   Direct Deposit of Refund ,   Entity Classification Election ,   Renewable Electricity, Refined Coal, and Indian Coal Production Credit ,   Qualifying Children Residency Statement ,   Closer Connection Exception Statement for Aliens ,   Statement for Exempt Individuals and Individuals With a Medical Condition ,   Empowerment Zone and Renewal Community Employment Credit ,   Empowerment Zone and Renewal Community Employment Credit ,   Indian Employment Credit ,   Credit for Employer Social Security and Medicare Taxes Paid on Certain Employee Tips ,   Credit for Contributions to Selected Community Development Corporations ,   Archer MSAs and Long-Term Care Insurance Contracts ,   Expatriation Information Statement ,   Information Return of U.S. Persons With Respect to Foreign Disregarded Entities ,   District of Columbia First-Time Homebuyer Credit ,   Qualified Zone Academy Bond Credit ,   Welfare-To-Work Credit ,   Information To Claim Earned Income Credit After Disallowance ,   Education Credits (Hope and Lifetime Learning Credits) ,   Biodiesel and Renewable Diesel Fuels Credit ,   IRS e-file Signature Authorization-Application for Extension of Time to File ,   Net Profit From Business (Sole Proprietorship) ,   Moving Expenses ,   Application for Exemption From Social Security and Medicare Taxes and Waiver of Benefits ,   Tax Effect of the International Boycott Provisions ,   Employee's Report on Tips to Employer ,   Employee's Daily Record of Tips ,   Profit or Loss From Business (Sole Proprietorship) ,   Credit For Federal Tax Paid On Fuels ,   Social Security and Medicare Tax on Unreported Tip Income ,   Return of U.S. Persons With Respect to Certain Foreign Partnerships ,   IRS e-file Signature Authorization ,   Interest Computation Under the Look-Back Method for Property Depreciated Under the Income Forecast Method ,   IRS e-file Signature Authorization (Spanish version) ,   Extraterritorial Income Exclusion ,   Credit for Qualified Retirement Savings Contributions ,   New Market Credit ,   Credit for Small Employer Pension Plan Startup Costs ,   IRS e-file Signature Authorization-Application for Extension of Time to File ,   Credit for Employer-Provided Child Care Facilities and Services ,   Health Coverage Tax Credit ,   Residential Energy Credits ,   Uncollected Social Security and Medicare Tax on Wages ,   Reportable Transaction Disclosure Statement ,   Entity Classification Election ,   Qualifying Children Residency Statement (Spanish version) ,   Treaty-Based Return Position Disclosure Under Section 6114 or 7701(b) ,   Consent to Extend the Time to Assess Tax Under Section 367-Gain Recognition Agreement ,   Qualified Adoption Expenses ,   Qualified Electric Vehicle Credit ,   U.S. Individual Income Tax Return ,   U.S. Individual Income Tax Return ,   Estimated Tax for Individuals ,   Estimated Tax for Individuals ,   Estimated Tax for Individuals ,   Credit for the Elderly or the Disabled ,   Acquisitions, Dispositions, and Changes of Interests in a Foreign Partnership ,   Transfer of Property to a Foreign Partnership (under section 6038B) ,   Organization or Reorginization of Foreign Corporation, and Acquisitions and Dispositions of its Stock ,   Return of Officers, Directors, and 10% or More Shareholders of a Foreign Personal Holding Company ,   Transactions Between Foreign Disregarded Entity of a Foreign Tax Owner and the Filer or Other Related Entities ,   Transactions Between Controlled Foreign Corporation and Shareholders or Other Related Persons ,   Partner's Share of Income, Deductions, Credits, etc. ,   Accumulated Earnings and Profits (E&P) of Controlled Foreign Corporation ,   Income Averaging for Farmers and Fishermen ,   Household Employment Taxes ,   Profit or Loss from Farming ,   Earned Income Credit ,   Supplemental Income and Loss ,   Capital Gains and Losses ,   Continuation Sheet for Schedule D (Form 1040) ,   Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreing Gifts ,   U.S, Individual Income Tax Declaration for an IRS e-file Return ,   U.S. Individual Income Tax Declaration for an IRS e-file Online Return ,   Foreign Earned Income ,   Foreign Earned Income Exclusion ,   Passive Activity Loss Limitations ,   Instructions ,   Passive Activity Credit Limitations ,   Instructions ,   Low Income Housing Credit ,   Investment Credit ,   Asset Acquisition Statement ,   Exemption Amount for Taxpayers Housing Individuals Displaced by Hurricane Katrina ,   Nondeductable IRAs ,   Credit for Federal Telephone Excise Tax Paid ,   Recapture of Low-Income Housing Credit ,   Tax for Children Under Age18 With Investment Income of More Than $1700 ,   Alternative Fuel Vehicle Refueling Property Credit ,   Instructions ,   Alternative Motor Vehicle Credit ,   Late Deemed Dividend or Deemed Sale Election by a Passive Foreign Investment Company ,   Energy Efficient Home Credit ,   Allocation of Individual Income Tax to the U.S. Virgin Islands ,   Low-Income Housing Credit Disposition Bond ,   Interest Computation Under the Look-Back Method for Completed Long-Term Contracts ,   Credit for Prior Year Minimum Tax-Individuals, Estates, and Trusts ,   Nonconventional Source Fuel Credit ,   Additional Child Tax Credit ,   Parent's Election to Report Child's Interest and Dividends ,   Distilled Spirits Credit ,   Domestic Production Activities Deduction ,   Exclusion of Interest From Series EE and I U.S. Savings Bonds Issued After 1989 ,   Information on Qualifying Children Who Are Not Dependents (For Child Tax Credit Only) ,   Optional Form To Record Redemption of Series EE and I U.S. Savings Bonds Issued After 1989 ,   Orphan Drug Credit ,   Residential Energy Credits ,   International Boycott Report ,   Child and Dependent Care Expenses for Form 1040A Filers ,   Application for Extension of Time To File U.S. Income Tax Return ,   Statement of Person(s) Receiving Gambling Winnings ,   Work Opportunity Credit ,   Interest and Ordinary Dividends for Form 1040A Filers ,   At-Risk Limitations ,   Alternative Minimum Tax-Individuals ,   Installment Sale Income ,   Solicitud para un Plan de Pagos a Plazos ,   Notice to Shareholder of Undistributed Long-Term Capital Gains ,   Credit for Alcohol Used As Fuel ,   Installment Agreement Request ,   Credit For Increasing Research Activities ,   Qualified Hurricane Retirement Plan Distributions and Repayments ,   Gains and Losses From Section 1256 Contracts and Straddles ,   Notice of Inconsistent Treatment or Administrative Adjustment Request (AR) ,   Investor Reporting of Tax Shelter Registration Number ,   Disclosure Statement ,   Regulation Disclosure Statement ,   Noncash Charitable Contribution ,   Release of Claim To Exemption For Child of Divorced or Seperated Parents ,   Injured Spouse Allocation ,   IRS e-file Signature Authorization-Application for Extension of Time to File (Spanish version) ,   Mortgage Interest Credit ,   Child and Dependent Care Expenses
Uncollected Social Security and Medicare Tax on Wages	8919	Uncollected Social Security and Medicare Tax on Wages

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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	136,260,300	135,890,300	0	370,000	0	0
Annual Time Burden (Hours)	3,309,800,001	3,309,800,000	0	1	0	0
Annual Cost Burden (Dollars)	30,125,044,991	30,125,044,991	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: We have added 1 new form to this approval number.

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Annual Cost to Federal Government: $15,000,000

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: 04/12/2007

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