Summary of Changes

IRS - OMB REVIEW REQUEST FORM
Request for OMB review of currently approved document:
Date:

11/17/2011

Name: Neal

Dickman

Office Symbols: SE:W:CAR:MP:T:B:C
Phone Number:

(202) 622-5013

Summary of Changes
Form 8850 is a pre-screening form for an employee to qualify for the Work Opportunity Credit. The VOW to Hire
Heroes Act of 2011, HR 674, allowed veterans that were unemployed for four weeks to qualify for the Work
Opportunity Credit. It expands the definition of target group for qualified veterans.
1. Line 1 was deleted since the law for Hurricane Katrina expired.
2. The last bullet under new checkbox 2 was deleted since the target group for disconnected youth expired
at the end of 2010. (IRC section 51(d))
3. A new box, box 3, was added to expand the target group for unemployed veterans.
Please note that Form 8850 is not filed with the IRS. The job applicant completes the form and
leaves it with the employer. Then, the employer files with the state workforce agency.

Impact on Approved Collection
Public
Law No.

Regulation
No.

Other
Code
References

SAMPLE:
PL 109-567

HR 674

REG-345675-08

RP 2009-134

IRC Sec. 51

+/- 5

Change In IRS Form
& Instructions
No. of Filers
Words

+/- 20,000

+/- 500

Attachments

+/- 1

+250,000

*Please insert how this new (PL, REG, or other), document will affect the currently approved collection.