Information Collection

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

IC 45393 under ICR 202509-1545-009 · OMB 1545-1420.

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
Form Schedule 5 (Form 8 Section 4081(e) Claims Form 8849, Sch 5, Section 4081(e) Claims	Form
Schedule 5 (Form 8 Section 4081(e) Claims f8849_schedule_5--2025-12-00.pdf	Form and Instruction
Schedule 5 (Form 8 Section 4081(e) Claims f8849-schedule-5-2026-03-00-draft.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	Schedule 5 (Form 8849) draft				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: Not-for-profit institutions, Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 27 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	78	0	0	78
Annual IC Time Burden (Hours)	388	88	0	300
Annual IC Cost Burden (Dollars)	8,444	0	8,444	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.

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