Information Collection

Credit for Federal Tax Paid on Fuels

IC 43852 under ICR 200908-1545-035 · OMB 1545-0162.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0162 can be found here:

Documents and Forms

Document Name Document Type
Form Form 4136 Credit for Federal Tax Paid on Fuels Form
2009 Instructions.pdf Instruction
Form 4136 Credit for Federal Tax Paid on Fuels Updated 2009 Form.pdf Form
2009 Burden Form 4136.PDF 2009 Burden-Form 4136 IC Document
2009 Burden Form 4136 Line 1.PDF 2009 Burden-Form 4136 Line 1 IC Document
2009 Burden Form 4136 Line 2.PDF 2009 Burden-Form 4136 Line 2 IC Document
2009 Burden Form 4136 Line 3.PDF 2009 Burden-Form 4136 Line 3 IC Document
2009 Burden Form 4136 Line 4.PDF 2009 Burden-Form 4136 Line 4 IC Document
2009 Burden Form 4136 Line 5.PDF 2009 Burden-Form 4136 Line 5 IC Document
2009 Burden Form 4136 Line 6.PDF 2009 Burden-Form 4136 Line 6 IC Document
2009 Burden Form 4136 Line 7.PDF 2009 Burden-Form 4136 Line 7 IC Document
2009 Burden Form 4136 Line 8.PDF 2009 Burden-Form 4136 Line 8 IC Document
2009 Burden Form 4136 Line 9.PDF 2009 Burden-Form 4136 Line 9 IC Document
2009 Burden Form 4136 Line 10.PDF 2009 Burden-Form 4136 Line 10 IC Document
2009 Burden Form 4136 Line 11.PDF 2009 Burden-Form 4136 Line 11 IC Document
2009 Burden Form 4136 Line 12.PDF 2009 Burden-Form 4136 Line 12 IC Document
2009 Burden Form 4136 Line 13.PDF 2009 Burden-Form 4136 Line 13 IC Document
2009 Burden Form 4136 Line 14.PDF 2009 Burden-Form 4136 Line 14 IC Document
2009 Burden Form 4136 Line 15.PDF 2009 Burden-Form 4136 Line 15 IC Document
2009 Burden Form 4136 Line 16.PDF 2009 Burden-Form 4136 Line 16 IC Document
2009 Burden Form 4136 Line 17.PDF 2009 Burden-Form 4136 Line 17 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Credit for Federal Tax Paid on Fuels	Agency IC Tracking Number:	db-0162-035

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection 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	Updated 2009 Form.pdf		Yes	Yes	Fillable Fileable
Instruction			2009 Instructions.pdf		Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,441,858	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,441,858	978,967	1,462,891
Annual IC Time Burden (Hours)	4,122,067	-241,946	4,364,013
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
2009 Burden-Form 4136	2009 Burden Form 4136.PDF	08/19/2009
2009 Burden-Form 4136 Line 1	2009 Burden Form 4136 Line 1.PDF	08/19/2009
2009 Burden-Form 4136 Line 2	2009 Burden Form 4136 Line 2.PDF	08/19/2009
2009 Burden-Form 4136 Line 3	2009 Burden Form 4136 Line 3.PDF	08/19/2009
2009 Burden-Form 4136 Line 4	2009 Burden Form 4136 Line 4.PDF	08/19/2009
2009 Burden-Form 4136 Line 5	2009 Burden Form 4136 Line 5.PDF	08/19/2009
2009 Burden-Form 4136 Line 6	2009 Burden Form 4136 Line 6.PDF	08/19/2009
2009 Burden-Form 4136 Line 7	2009 Burden Form 4136 Line 7.PDF	08/19/2009
2009 Burden-Form 4136 Line 8	2009 Burden Form 4136 Line 8.PDF	08/19/2009
2009 Burden-Form 4136 Line 9	2009 Burden Form 4136 Line 9.PDF	08/19/2009
2009 Burden-Form 4136 Line 10	2009 Burden Form 4136 Line 10.PDF	08/19/2009
2009 Burden-Form 4136 Line 11	2009 Burden Form 4136 Line 11.PDF	08/19/2009
2009 Burden-Form 4136 Line 12	2009 Burden Form 4136 Line 12.PDF	08/19/2009
2009 Burden-Form 4136 Line 13	2009 Burden Form 4136 Line 13.PDF	08/19/2009
2009 Burden-Form 4136 Line 14	2009 Burden Form 4136 Line 14.PDF	08/19/2009
2009 Burden-Form 4136 Line 15	2009 Burden Form 4136 Line 15.PDF	08/19/2009
2009 Burden-Form 4136 Line 16	2009 Burden Form 4136 Line 16.PDF	08/19/2009
2009 Burden-Form 4136 Line 17	2009 Burden Form 4136 Line 17.PDF	08/19/2009

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