Information Collection

Schedule I (Form 4720)

IC 178583 under ICR 201608-1545-002 · OMB 1545-0052.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4720 sch I Initial Taxes on Excess Benefit Transactions Schedule I (Form 4720)	Form
4720 sch I Initial Taxes on Excess Benefit Transactions Schedule I (Form 4720 (2015)).pdf	Form
Sch I (Form 4720) Burden.pdf burden	IC Document

IC Title:

Agency IC Tracking Number:

ah-0052-010

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 53.4858-4

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	4720 sch I	Initial Taxes on Excess Benefit Transactions	Schedule I (Form 4720 (2015)).pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	1,098	1,098
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
burden	Sch I (Form 4720) Burden.pdf	03/15/2013

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