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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.