Applicable Insurance Contracts Information Return

Form 8921 - Applicable Insurance Contracts Information Return

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2083 can be found here:

Documents and Forms

Document Name Document Type
Form Form 8921 Applicable Insurance Contracts Information Return Form
F8921_Instr_052507.pdf Instruction
Form 8921 Applicable Insurance Contracts Information Return F8921_052507.pdf Form

Information Collection (IC) Details

IC Title:	Applicable Insurance Contracts Information Return	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 8921	Applicable Insurance Contracts Information Return	F8921_052507.pdf		No		Fillable Printable
Instruction			F8921_Instr_052507.pdf		No		Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	1,794,500	1,794,500
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.