Information Collection

Supplemental Attachment to Schedule M-3

IC 46167 under ICR 201308-1545-053 · OMB 1545-2061.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8916-A Supplemental Attachment to Schedule M-3	Form
8916-A Supplemental Attachment to Schedule M-3 2013 Form 8916-A.pdf	Form
brdn_busi.pdf 2010 Burden	IC Document

IC Title:

Agency IC Tracking Number:

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	8916-A	Supplemental Attachment to Schedule M-3	2013 Form 8916-A.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 156,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	156,000	156,000
Annual IC Time Burden (Hours)	5,049,720	5,049,720
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2010 Burden	brdn_busi.pdf	09/13/2010

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