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Election to be Treated as an Interest Charge DISC
Election to be treated as an Interest Charge DISC
OMB: 1545-0190
IC ID: 17086
OMB.report
TREAS/IRS
OMB 1545-0190
ICR 201208-1545-026
IC 17086
( )
Documents and Forms
Document Name
Document Type
Form 4876-A
Election to be Treated as an Interest Charge DISC
Form and Instruction
4876-A Election to be treated as an Interest Charge DISC
Form and Instruction 4876-A.pdf
Form and Instruction
2012 Burden Form 4876-A.PDF
2012 Burden Form 8876-A
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Election to be Treated as an Interest Charge DISC
Agency IC Tracking Number:
jg-0190-026
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
4876-A
Election to be treated as an Interest Charge DISC
Form and Instruction 4876-A.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Taxation Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
20 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,000
0
0
0
0
1,000
Annual IC Time Burden (Hours)
6,360
0
0
0
0
6,360
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
2012 Burden Form 8876-A
2012 Burden Form 4876-A.PDF
08/17/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.