Information Collection

Employer Credit for Paid Family and Medical Leave

IC 233457 under ICR 202106-1545-009 · OMB 1545-2282.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 8994 Employer Credit for Paid Family and Medical Leave	Form
i8994--2021-01-00.pdf	Instruction
i8994--2021-01-00.pdf	Instruction
Form 8994 Employer Credit for Paid Family and Medical Leave f8994--2021-01-00.pdf	Form
Form 8994 Employer Credit for Paid Family and Medical Leave f8994--2021-01-00.pdf	Form
2018 Burden Form 8994.pdf 2018 Burden	IC Document
2018 Burden Form 8994.pdf 2018 Burden	IC Document

IC Title:

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 602.601

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	Form 8994	Employer Credit for Paid Family and Medical Leave	f8994--2021-01-00.pdf		Yes	Yes	Fillable Fileable
Instruction			i8994--2021-01-00.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title: IRM 10.5.1, Privacy Policy

FR Citation: 80 FR 54063

Number of Respondents: 660,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	660,000	660,000
Annual IC Time Burden (Hours)	1,280,400	1,280,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2018 Burden	2018 Burden Form 8994.pdf	10/09/2018

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