Special Loss Discount Account and Special Estimated Tax Payments for Insurance Companies

ICR 201003-1545-004 · OMB 1545-1130 · Historical Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1545-1130 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form Form 8816 Special Loss Discount Account and Special Estimated Tax Payments for Insurance Companies	Form and Instruction	Modified	Available
ombat1.doc	Supplementary Document	Uploaded 2010-03-07	Available
8816.Sup_Stmnt.doc	Supporting Statement A	Uploaded 2010-03-07	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
17850	Special Loss Discount Account and Special Estimated Tax Payments for Insurance Companies	Form and Instruction	Modified

ICR Details

OMB Control No: 1545-1130	ICR Reference No: 201003-1545-004
Status: Historical Active	Previous ICR Reference No: 200612-1545-039
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Special Loss Discount Account and Special Estimated Tax Payments for Insurance Companies
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/09/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/30/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2013	36 Months From Approved	05/31/2010
Responses	3,000	0	3,000
Time Burden (Hours)	19,830	0	19,830
Cost Burden (Dollars)	0	0	0

Abstract: Form 8816 is used by insurance companies claiming an additional deduction under IRC section 847 to reconcile their special loss discount and special estimated tax payments, and to determine their tax benefit associated with the deduction. The information is needed by the IRS to determine that the proper additional deduction was claimed and to insure the proper amount of special estimated tax was computed and deposited.

Authorizing Statute(s): US Code: 26 USC 847 Name of Law: Special estimated tax payments

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 56691	11/02/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 14253	03/24/2010
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Special Loss Discount Account and Special Estimated Tax Payments for Insurance Companies	Form 8816	Special Loss Discount Account and Special Estimated Tax Payments for Insurance Companies

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	3,000	3,000
Annual Time Burden (Hours)	19,830	19,830
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $2,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Clarence Light 202 622-3096

Common Form ICR: No