Information Collection

Credit for Federal Tax Paid on Fuels

IC 43852 under ICR 201210-1545-021 · OMB 1545-0162.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0162 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 4136 Credit for Federal Tax Paid on Fuels Credit for Federal Tax Paid on Fuels	Form
2011 inst..pdf	Instruction
Form 4136 Credit for Federal Tax Paid on Fuels 2012 Form.pdf	Form
2009 Burden Form 4136.PDF 2009 Burden-Form 4136	IC Document
2009 Burden Form 4136 Line 1.PDF 2009 Burden-Form 4136 Line 1	IC Document
2009 Burden Form 4136 Line 2.PDF 2009 Burden-Form 4136 Line 2	IC Document
2009 Burden Form 4136 Line 3.PDF 2009 Burden-Form 4136 Line 3	IC Document
2009 Burden Form 4136 Line 4.PDF 2009 Burden-Form 4136 Line 4	IC Document
2009 Burden Form 4136 Line 5.PDF 2009 Burden-Form 4136 Line 5	IC Document
2009 Burden Form 4136 Line 6.PDF 2009 Burden-Form 4136 Line 6	IC Document
2009 Burden Form 4136 Line 7.PDF 2009 Burden-Form 4136 Line 7	IC Document
2009 Burden Form 4136 Line 8.PDF 2009 Burden-Form 4136 Line 8	IC Document
2009 Burden Form 4136 Line 9.PDF 2009 Burden-Form 4136 Line 9	IC Document
2009 Burden Form 4136 Line 10.PDF 2009 Burden-Form 4136 Line 10	IC Document
2009 Burden Form 4136 Line 11.PDF 2009 Burden-Form 4136 Line 11	IC Document
2009 Burden Form 4136 Line 12.PDF 2009 Burden-Form 4136 Line 12	IC Document
2009 Burden Form 4136 Line 13.PDF 2009 Burden-Form 4136 Line 13	IC Document
2009 Burden Form 4136 Line 14.PDF 2009 Burden-Form 4136 Line 14	IC Document
2009 Burden Form 4136 Line 15.PDF 2009 Burden-Form 4136 Line 15	IC Document
2009 Burden Form 4136 Line 16.PDF 2009 Burden-Form 4136 Line 16	IC Document
2009 Burden Form 4136 Line 17.PDF 2009 Burden-Form 4136 Line 17	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Credit for Federal Tax Paid on Fuels

Agency IC Tracking Number:

db-0162-035

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	Form 4136				Yes	Yes	Fillable Fileable
Instruction					Yes	No	Printable Only

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: 2,441,858

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	2,441,858	2,441,858
Annual IC Time Burden (Hours)	4,122,067	4,122,067
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2009 Burden-Form 4136		08/19/2009
2009 Burden-Form 4136 Line 1		08/19/2009
2009 Burden-Form 4136 Line 2		08/19/2009
2009 Burden-Form 4136 Line 3		08/19/2009
2009 Burden-Form 4136 Line 4		08/19/2009
2009 Burden-Form 4136 Line 5		08/19/2009
2009 Burden-Form 4136 Line 6		08/19/2009
2009 Burden-Form 4136 Line 7		08/19/2009
2009 Burden-Form 4136 Line 8		08/19/2009
2009 Burden-Form 4136 Line 9		08/19/2009
2009 Burden-Form 4136 Line 10		08/19/2009
2009 Burden-Form 4136 Line 11		08/19/2009
2009 Burden-Form 4136 Line 12		08/19/2009
2009 Burden-Form 4136 Line 13		08/19/2009
2009 Burden-Form 4136 Line 14		08/19/2009
2009 Burden-Form 4136 Line 15		08/19/2009
2009 Burden-Form 4136 Line 16		08/19/2009
2009 Burden-Form 4136 Line 17		08/19/2009

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

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