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Federal forms, ICRs, and supporting documents

Information Collection Request

Form 8850, Pre-Screening Notice and Certification Request for the Work Opportunity Credit

ICR 202201-1545-010 · OMB 1545-1500 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 8850 Pre-Screening Notice and Certification Request for the Work Opportunity Credit Form Modified Repair queued
Notice 2021-43.pdf Supplementary Document Uploaded 2022-01-07 Repair queued
Notice 2015-13.pdf Supplementary Document Uploaded 2015-04-17 Repair queued
1545-1500 Supporting Statement.docx Supporting Statement A Uploaded 2022-01-07 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
18507 Pre-Screening Notice and Certification Request for the Work Opportunity Credit Form Modified
ICR Details
1545-1500 202201-1545-010
Received in OIRA 201808-1545-015
TREAS/IRS
Form 8850, Pre-Screening Notice and Certification Request for the Work Opportunity Credit
Extension without change of a currently approved collection   No
Regular 03/31/2022
  Requested Previously Approved
36 Months From Approved 03/31/2022
440,000 440,000
3,242,800 3,242,800
0 0
Employers use Form 8850 as part of a written request to a designated local agency to certify an employee as a member of a targeted group for purposes of qualifying for the work opportunity tax credit. The work opportunity credit covers individuals who begin work for the employer before December 31, 2025.
US Code: 26 USC 51 Name of Law: Amount of credit
  
None
Not associated with rulemaking
  86 FR 51448 09/15/2021
87 FR 18477 03/29/2022
No
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 440,000 440,000 0 0 0 0
Annual Time Burden (Hours) 3,242,800 3,242,800 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$27,219
No
    No
    Yes
No
No
Yes
No
William Woolf 202 317-5761
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/31/2022