Information Collection

Form 8975 - Country-by-Country Report

IC 223037 under ICR 201608-1545-020 · OMB 1545-2272.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2272 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8975 Form 8975 - Country-by-Country Report	Form
Form 8975 (draft Instructions).docx	Instruction
8975 Country-by-Country Report Form 8975 (draft).docx	Form
REG-109822-15.pdf REG-109822-15	IC Document
TD 9773.pdf TD 9773	IC Document

IC Title:

Form 8975 - Country-by-Country Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 1.6038-4

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	8975	Country-by-Country Report	Form 8975 (draft).docx		Yes	Yes	Fillable Fileable
Instruction			Form 8975 (draft Instructions).docx		Yes	Yes	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,120

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	3,120	3,120
Annual IC Time Burden (Hours)	4,680	4,680
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
REG-109822-15	REG-109822-15.pdf	08/16/2016
TD 9773	TD 9773.pdf	08/16/2016

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