Information Collection

Pre-Screening Notice and Certification Request for the Work Opportunity Credit

IC 18507 under ICR 202201-1545-010 · OMB 1545-1500.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8850 Pre-Screening Notice and Certification Request for the Work Opportunity Credit	Form
i8850--2021-03-00.pdf	Instruction
i8850--2021-03-00.pdf	Instruction
8850 Pre-Screening Notice and Certification Request for the W Fom 8850.pdf	Form
8850 Pre-Screening Notice and Certification Request for the W Fom 8850.pdf	Form

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:

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	8850	Pre-Screening Notice and Certification Request for the Work Opportunity Credit	Fom 8850.pdf		Yes	Yes	Fillable Fileable
Instruction			i8850--2021-03-00.pdf		Yes	No	Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 440,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	440,000	440,000
Annual IC Time Burden (Hours)	3,242,800	3,242,800
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.