Information Collection

Specifically Attributable Taxes and Income (Section 999(c)(2))

IC 184386 under ICR 201108-1545-006 · OMB 1545-0216.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0216 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Sch B (Form 5713) Specifically Attributable Taxes and Income (Section 999(c)(2))	Form and Instruction
Sch B (Form 5713) Specifically Attributable Taxes and Income (Section 999( Sch B (F 5713).pdf	Form and Instruction
Burden for Sch B (F 5713).pdf 2011 Burden	IC Document

IC Title:

Specifically Attributable Taxes and Income (Section 999(c)(2))

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	Sch B (Form 5713)	Specifically Attributable Taxes and Income (Section 999(c)(2))	Sch B (F 5713).pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 67

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	67	67
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2011 Burden	Burden for Sch B (F 5713).pdf	08/03/2011

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