Information Collection

Credits for Affected Disaster Area Employers

IC 19719 under ICR 201711-1545-005 · OMB 1545-1978.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1978 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5884-A Credits for Affected Disaster Area Employers	Form
Instructions_draft 5884a.pdf	Instruction
5884-A Credits for Affected Disaster Area Employers Form_5884-A draft 12-04-2017.pdf	Form

IC Title:

Credits for Affected Disaster Area Employers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	5884-A	Credits for Affected Disaster Area Employers	Form_5884-A draft 12-04-2017.pdf		Yes	Yes	Fillable Fileable
Instruction			Instructions_draft 5884a.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: IRS 24.046 BMF and IRS 34.047 Audit Trail and Security Records System

FR Citation: 80 FR 54064

Number of Respondents: 250,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 65 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250,000	250,000
Annual IC Time Burden (Hours)	760,000	760,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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