Information Collection

Form 8849, Sch 5, Section 4081(e) Claims

IC 45393 under ICR 202111-1545-003 · OMB 1545-1420.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1420 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Schedule 5 (Form 8 Form 8849, Sch 5, Section 4081(e) Claims	Form and Instruction
Schedule 5 (Form 8 Section 4081(e) Claims Form 8849 (Sch. 5).pdf	Form and Instruction
Schedule 5 (Form 8 Section 4081(e) Claims Form 8849 (Sch. 5).pdf	Form and Instruction

IC Title:

Form 8849, Sch 5, Section 4081(e) Claims

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	Schedule 5 (Form 8849)	Section 4081(e) Claims	Form 8849 (Sch. 5).pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: Treasury/IRS 22.062; Treasury/IRS 42.002

FR Citation: 80 FR 54063

Number of Respondents: 78

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 27 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	78	-161	239
Annual IC Time Burden (Hours)	300	-621	921
Annual IC Cost Burden (Dollars)	0	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.