Information Collection

Form 8927--Determination Under Section 860(e)(4) by a Qualified Investment Entity

IC 187121 under ICR 201203-1545-004 · OMB 1545-2130.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 8927 Form 8927--Determination Under Section 860(e)(4) by a Qualified Investment Entity	Form and Instruction
Form 8927 Determination Under Section 860(e)(4) by a Qualified Inv Form 8927.pdf	Form and Instruction
Burden.PDF Burden	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 301.7502-1 26 CFR 1.860-2(b)(1)

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	Form 8927	Determination Under Section 860(e)(4) by a Qualified Investment Entity	Form 8927.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	140	140
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden	Burden.PDF	03/02/2012

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