Preparation Instructions for Media Label

Notice 210
(Rev. July 2002)

Preparation Instructions for Media Label

OMB Clearance No.
1545-0295

Media label, Form 5064, has been obsoleted. It is no longer necessary to use special labels from IRS for your
media. Any pressure sensitive label can now be used as long as it contains the following information:
Type of filing: Indicate whether data is Original, Replacement, Test or Correction.
Tax Year: Indicate tax year for which media is submitted.
IRS TCC: (Transmitter Control Code): Provide TCC assigned to the transmitter.
Transmitter’s name
Operating system/Hardware:

Recommended label format:

For 3-1/2 inch diskette files,
indicate the type of personal computer
operating system, and software package
used to create the media (for example:
IBM.PC/AT-MSD/DOS, Apple MacIntosh/
MacWrite V2.2).

Type of filing_______________________
Tax Year_________ IRS TCC__________
Transmitter name____________________
Operating system/Hardware____________
Number of payees _________________
Transmitter number for media__________
Media sequence _______of___________

For tape cartridge, indicate operating system, either EBCDIC or ASCII, and either 18, 36, 128 or 256-track.
Number of payees: Indicate the total number of Payee “B” Records, Recipient “Q” Records for
Form 1042S, or total number of establishments for Form 8027 reported on the media.
Transmitter number for media: If available, provide the in-house number assigned by your organization to the
tapes, tape cartridges or diskettes.
Media sequence: Indicate sequence number of media and total number of media in file (for example: Media
sequence 1 or 3, 2 of 3, 3 of 3).
Please affix external label to appropriate area on magnetic media. Do not hinder the ability to process media
when affixing label.

Paperwork Reduction Act Notice
We ask for the information in Notice 210 to carry out the Internal Revenue laws of the United States. You are
required to give us the information. You are not required to provide the information requested on a form that is
subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records
relating to a form or its instructions must be retained as long as their contents may become material in the
administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as
required by Code section 6103. The time needed to provide this information would vary depending on individual
circumstances. The estimated average time is 5 minutes. If you have comments concerning the accuracy of this time
estimate or suggestions for making this form simpler, we would be happy to hear from you. You can write to the Tax
Forms Committee, Western Area Distribution Center, Rancho Cordova, CA 95743-0001.

Notice 210 (Rev. 7-2002)

Catalog Number 45625J