Information Collection

Election to be Treated as an Interest Charge DISC

IC 17086 under ICR 200907-1545-019 · OMB 1545-0190.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0190 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4876-A Election T Be Treated as an Interest Charge DISC Election to be Treated as an Interest Charge DISC	Form and Instruction
4876-A Election T Be Treated as an Interest Charge DISC 4876A 06.pdf	Form and Instruction

IC Title:

Election to be Treated as an Interest Charge DISC

Agency IC Tracking Number:

ah-0190-019

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	4876-A				No		Paper 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: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	6,360	6,360
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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