Casualties and Thefts

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0177 can be found here:

Documents and Forms

Document Name Document Type
Form Form 4684 Casualties and Thefts Form
I4684.pdf Instruction
Form 4684 Casualties and Thefts df4684_2009.pdf Form
F4684_brdn_indiv.PDF Burden for Form 4684 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Casualties and Thefts	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 4684	Casualties and Thefts	df4684_2009.pdf		Yes	Yes	Fillable Fileable
Instruction			I4684.pdf		No		Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 268,350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 35 %

	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	268,350	155,017	113,333
Annual IC Time Burden (Hours)	1,486,659	832,727	653,932
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Burden for Form 4684	F4684_brdn_indiv.PDF	01/05/2009

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