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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.