Information Collection

Credit for Federal Tax Paid on Fuels

IC 43852 under ICR 202205-1545-007 · OMB 1545-0162.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 4136 Credit for Federal Tax Paid on Fuels	Form
i4136--2021-00-00.pdf	Instruction
i4136--2021-00-00.pdf	Instruction
Form 4136 Credit for Federal Tax Paid on Fuels f4136--2021-00-00.pdf	Form
Form 4136 Credit for Federal Tax Paid on Fuels f4136--2021-00-00.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	Form 4136	Credit for Federal Tax Paid on Fuels	f4136--2021-00-00.pdf		Yes	Yes	Fillable Fileable
Instruction			i4136--2021-00-00.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: Treasury/IRS 22.062; Treasury/IRS 24.030; Treasury/IRS 24.046; Treasury/IRS 34.037

FR Citation: 80 FR 54063

Number of Respondents: 2,140

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,140	-2,439,718	0	2,441,858
Annual IC Time Burden (Hours)	80,015	-4,118,463	76,402	4,122,076
Annual IC Cost Burden (Dollars)	0	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.