Information Collection

Form 5884-D

IC 246266 under ICR 202103-1545-011 · OMB 1545-2298.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2298 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5884-D Form 5884-D	Form and Instruction
Form 5884-D Instructions 3-19-2021.pdf www.irs.gov/forms-instructions	Instruction
5884-D Employee Retention Credit for Certain Tax-Exempt Organiz Form 5884-D (2021 Draft).pdf www.irs.gov/forms-instructions	Form and Instruction
5884-D Employee Retention Credit for Certain Tax-Exempt Organiz Form 5884-D (2021 Draft).pdf www.irs.gov/forms-instructions	Form

IC Title:

Form 5884-D

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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-D	Employee Retention Credit for Certain Tax-Exempt Organizations Affected by Qualified Disasters	Form 5884-D (2021 Draft).pdf	https://www.irs.gov/forms-instructions	Yes	No	Printable Only
Instruction			Form 5884-D Instructions 3-19-2021.pdf	http://www.irs.gov/forms-instructions	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 516,266

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	516,266	516,266
Annual IC Time Burden (Hours)	1,151,273	1,151,273
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.