Information Collection

Country-by-Country Report Form 8975 and schedule

IC 223037 under ICR 201910-1545-026 · 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⚠️ Notice: This information collection may be referencing outdated material.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 sch A Country-by-Country Report Form 8975 and schedule	Form
i8975--2017-06-00.pdf	Instruction
i8975--2019-07-00.pdf	Instruction
8975 sch A Tax Jurisdiction and Constituent Entity Information f8975_schedule_a--2017-06-00.pdf	Form
8975 Country-by-Country Report f8975--2017-06-00.pdf	Form
REG-109822-15.pdf REG-109822-15	IC Document
TD 9773.pdf TD 9773	IC Document

IC Title:

Country-by-Country Report Form 8975 and schedule

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	8975 sch A	Tax Jurisdiction and Constituent Entity Information	f8975_schedule_a--2017-06-00.pdf	Yes	Yes	Fillable Fileable
Instruction			i8975--2017-06-00.pdf	Yes	No	Printable Only
Form	8975	Country-by-Country Report	f8975--2017-06-00.pdf	Yes	Yes	Fillable Fileable
Instruction			i8975--2019-07-00.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: Treas/IRS 24.046 BMF;Treas/IRS 34.047 Audit trail and security records system

FR Citation: 83 FR 42980

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: 97 %

table that charts list of burden
	Approved	Previously Approved
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.