Information Collection

Net Income (Loss) Reconciliation for U.S. Property and Casualty Insurance Companies With Total Assets of $10 Million or More

IC 178570 under ICR 201111-1545-028 · OMB 1545-1027.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Schedule M-3 (Form Net Income (Loss) Reconciliation for U.S. Property and Casualty Insurance Companies With Total Assets of $10 Million or More	Form
1120PCinst.pdf	Instruction
Schedule M-3 (Form U.S. Property and Casualty Insurance Company Income Tax 1120PC.pdf	Form

IC Title:

Agency IC Tracking Number:

cb-1027-021

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	Schedule M-3 (Form 1120-PC)	U.S. Property and Casualty Insurance Company Income Tax Return	1120PC.pdf		Yes	Yes	Fillable Fileable
Instruction			1120PCinst.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,000	0	2,000
Annual IC Time Burden (Hours)	222,940	500	222,440
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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