Form 8940 - Request for Miscellaneous Determination

Forms and Documents

Document	Type	Status	Availability
Form Form 8940 Form 8940 - Request for Miscellaneous Determination	Form	Modified	Available
2017-08-30 SS 1545-2211r.docx	Supporting Statement A	Uploaded 2017-08-30	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
196174	Form 8940 - Request for Miscellaneous Determination	Form	Modified

ICR Details

OMB Control No: 1545-2211	ICR Reference No: 201706-1545-019
Status: Active	Previous ICR Reference No: 201405-1545-005
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Form 8940 - Request for Miscellaneous Determination
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/25/2017
	Date Received in OIRA: 09/26/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2020	36 Months From Approved	11/30/2017
Responses	2,100	0	2,100
Time Burden (Hours)	28,959	0	28,959
Cost Burden (Dollars)	0	0	0

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Abstract: Form 8940 standardizes information collection procedures for 9 categories of individually written requests for miscellaneous determinations now submitted to the Service by requestor letter. Respondents are exempt organizations.

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Authorizing Statute(s): US Code: 26 USC 509(a) Name of Law: General rule.
   US Code: 26 USC 4940 Name of Law: Excise tax based on investment income.
   US Code: 26 USC 4942 Name of Law: Taxes on failure to distribute income.
   US Code: 26 USC 4945 Name of Law: Taxes on taxable expenditures.
   US Code: 26 USC 6033 Name of Law: Returns by exempt organizations.
   US Code: 26 USC 507 Name of Law: Termination of private foundation status.
  

Citations for New Statutory Requirements: US Code: 26 USC 6033 Name of Law: Returns by exempt organizations.

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 28942	06/26/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 44250	09/21/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Form 8940 - Request for Miscellaneous Determination	Form 8940	Request for Miscellaneous Determination

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	2,100	2,100	0	0	0	0
Annual Time Burden (Hours)	28,959	28,959	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/26/2017

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