Form 4684 - Casualties and Thefts

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0177 can be found here:

Documents and Forms

Document Name Document Type
Form 4684 Form 4684 - Casualties and Thefts Form
Instructions for Form 4684 (TY 2017).pdf Instruction
i4684_draft_2018.pdf Instruction
4684 Casualties and Thefts Form 4684 (TY 2017).pdf Form
4684 Casualties and Thefts Form 4684 (Draft TY 2018).pdf Form
Pub 547- 2013-.pdf Pub 547 IC Document
2018-4684-Burden-2018-07-20 12-25-12.pdf 2018 Burden IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 4684 - Casualties and Thefts	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4684	Casualties and Thefts	Form 4684 (TY 2017).pdf	Yes	Yes	Fillable Fileable
Form	4684	Casualties and Thefts	Form 4684 (Draft TY 2018).pdf	Yes	No	Fillable Printable
Instruction			Instructions for Form 4684 (TY 2017).pdf	Yes	No	Printable Only
Instruction			i4684_draft_2018.pdf	No		Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 213,867	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to New Statute	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	213,867	0	-106,133	320,000
Annual IC Time Burden (Hours)	1,293,895	70,576	-607,081	1,830,400
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Pub 547	Pub 547- 2013-.pdf	11/26/2014
2018 Burden	2018-4684-Burden-2018-07-20 12-25-12.pdf	08/21/2018

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