Information Collection

Form 4684 - Casualties and Thefts

IC 39670 under ICR 202109-1545-001 · OMB 1545-0177.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4684 Form 4684 - Casualties and Thefts	Form
i4684--2020-00-00.pdf	Instruction
i4684--2020-00-00.pdf	Instruction
4684 Casualties and Thefts f4684--2020-00-00.pdf	Form
4684 Casualties and Thefts f4684--2020-00-00.pdf	Form
Pub 547- 2013-.pdf Pub 547	IC Document
Pub 547- 2013-.pdf Pub 547	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 1.165-1 thru 1.165-11 26 CFR 1.1231-1 26 CFR 1.1231-2

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	4684	Casualties and Thefts	f4684--2020-00-00.pdf		Yes	Yes	Fillable Fileable
Instruction			i4684--2020-00-00.pdf		Yes	No	Fillable Printable

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	213,867	213,867
Annual IC Time Burden (Hours)	1,293,895	1,293,895
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Pub 547	Pub 547- 2013-.pdf	11/26/2014

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