Form 4684 - Casualties and Thefts

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 4684 Form 4684 - Casualties and Thefts	Form	Modified	Available
Rev Proc 2011-58.pdf	Supplementary Document	Uploaded 2014-11-26	Available
Rev Proc 2009-20.pdf	Supplementary Document	Uploaded 2014-11-26	Available
2018-10-15_SS_1545-0177rAB.doc	Supporting Statement A	Uploaded 2018-10-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
39670	Form 4684 - Casualties and Thefts	Form	Modified

ICR Details

OMB Control No: 1545-0177	ICR Reference No: 201808-1545-016
Status: Active	Previous ICR Reference No: 201305-1545-012
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Form 4684 - Casualties and Thefts
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/19/2018
	Date Received in OIRA: 10/26/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2021	36 Months From Approved	12/31/2018
Responses	213,867	0	320,000
Time Burden (Hours)	1,293,895	0	1,830,400
Cost Burden (Dollars)	0	0	0

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Abstract: Form 4684 is used by taxpayers to compute their gain or loss from casualties or thefts, and to summarize such gains and losses. The data is used to verify that the correct gain or loss has been computed.

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Authorizing Statute(s): US Code: 26 USC 1231 Name of Law: Property used in the trade or business and involuntary conversions
   US Code: 26 USC 6103 Name of Law: Confidentiality and disclosure of returns and return information
   US Code: 26 USC 165 Name of Law: Losses
   PL: Pub.L. 115 - 97 11044(a) Name of Law: Tax Cuts and Jobs Act of 2017
   PL: Pub.L. 115 - 97 11045(a) Name of Law: Tax Cuts and Jobs Act of 2017
  

Citations for New Statutory Requirements: PL: Pub.L. 115 - 97 11044(a) Name of Law: Modification Of Deduction For Personal Casualty Losses

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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:
	83 FR 23339	05/18/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 52614	10/17/2018
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Form 4684 - Casualties and Thefts	4684, 4684	Casualties and Thefts ,   Casualties and Thefts

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ICR Summary of Burden

table that charts list 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	213,867	320,000	0	0	-106,133	0
Annual Time Burden (Hours)	1,293,895	1,830,400	70,576	0	-607,081	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: The Department has updated the burden associated with the ICR to reflect its most recent data on Form 4684 filings. We estimate 106,333 fewer filings which will decrease our estimated responses from 320,000 to 213,867. A decrease of 607,081 burden hours is due to this adjustment in agency estimate. In Section A, the Agency added a check box for the Taxpayer to indicate if the loss is from a federally declared disaster and an entry line to write the FEMA disaster declaration number. Individual casualty and theft losses will only be allowed for losses derived from federally declared disaster for tax years 2018-2025 per Public Law 115-97 sec. 11044(a). In Section B, Part II, the Agency deleted "employee property" references from lines 32 and 38b as well as column (b)(ii) since those losses can no longer be claimed for tax years 2018-2025 per Public Law 115-97 sec. 11045(a). The limitation of casualty and theft losses to losses derived from federally declared disaster areas and changes to the instructions will increase the estimated burden hours due to this program change by 70,576.11 from 1,223,320 to 1,293,896. There is a net decrease in burden of 536,504.89 hours; 1,293,896 burden hours are requested.

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Annual Cost to Federal Government: $55,652

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.     No

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.     No

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: 10/26/2018

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