Information Collection

Form 8940, Request for Miscellaneous Determination

IC 196174 under ICR 201102-1545-012 · OMB 1545-2211.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2211 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8940 Form 8940, Request for Miscellaneous Determination	Form
I8940.pdf	Instruction
8940 Request for Miscllenaneous Determination Barcode8940.pdf	Form
2011 burden.PDF burden	IC Document

IC Title:

Form 8940, Request for Miscellaneous Determination

Agency IC Tracking Number:

ah-XXXX-012

Is this a Common Form? No

IC Status: New

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	8940	Request for Miscllenaneous Determination	Barcode8940.pdf		Yes	No	Printable Only
Instruction			I8940.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	2,100	2,100
Annual IC Time Burden (Hours)	28,959	28,959
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
burden	2011 burden.PDF	02/11/2011

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