Information Collection

Form 990W Schedule A (Part III)

IC 190895 under ICR 201602-1545-001 · OMB 1545-0976.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2016 990-W Sch. A Pt. 3.pdf	Other-null
brdn_busi.pdf Burden computation	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
Other-null			2016 990-W Sch. A Pt. 3.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 27,265

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	593	593
Annual IC Time Burden (Hours)	2,859	2,859
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden computation	brdn_busi.pdf	02/18/2016

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