Information Collection

Special Loss Discount Account and Special Estimated Tax Payments for Insurance Companies

IC 17850 under ICR 201003-1545-004 · OMB 1545-1130.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1130 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 8816 Special Loss Discount Account and Special Estimated Tax Payments for Insurance Companies	Form and Instruction
Form 8816 Special Loss Discount Account and Special Estimated Tax 2009 Form 8816.pdf	Form and Instruction
8816_brdn_busi.PDF Burden	IC Document

IC Title:

Special Loss Discount Account and Special Estimated Tax Payments for Insurance Companies

Agency IC Tracking Number:

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	Form 8816	Special Loss Discount Account and Special Estimated Tax Payments for Insurance Companies	2009 Form 8816.pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

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	3,000	3,000
Annual IC Time Burden (Hours)	19,830	19,830
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden	8816_brdn_busi.PDF	03/07/2010

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