Information Collection

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

IC 45393 under ICR 201408-1545-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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 Schedule 5 (Form 8849).pdf www.irs.gov/pub/irs-pdf/f8849s5.pdf Form and Instruction
Form 8849 (Sch. 5) brdn.pdf 2014 Burden for form8849 SCH5 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 8849, Sch 5, Section 4081(e) Claims	Agency IC Tracking Number:	rt-1420-009

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 and Instruction	Schedule 5 (Form 8849)	Section 4081 (e) Claims	Schedule 5 (Form 8849).pdf	http://www.irs.gov/pub/irs-pdf/f8849s5.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 239	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	239	239
Annual IC Time Burden (Hours)	921	921
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2014 Burden for form8849 SCH5	Form 8849 (Sch. 5) brdn.pdf	08/07/2014

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