Form 14029 - For Form 8932

PAPERWORK REDUCTION ACT SUBMISSION
Please read the Instructions before completing this form.
2. Agency : Department of Treasury, Internal Revenue Service

1. Type of IC Review:
New Form (Attach Supporting Statement)
Revision to Previously Approved IC (Attach Summary
of Changes)
Extension to previously approved IC (3-yr)
Reinstatement of previously approved IC
Existing IC in use that does not contain an OMB
control number
Deletion of currently approved IC

3. OMB Control No:

1 5 4 5 –

4. Type of Review:
Regular
Emergency * – Date Requested
By: 12 / 31 / 08
5. Small Entities: Will this ICR have a significant economic
impact on a substantial number of small entities?
Yes
No
7. Emergency Justification: Technical Authorization(TA):
(provide reference source)

6. Requested Expiration Date:
Three years from approval date
Other - Specify:

Public Law (P.L.) 110-245, section 111

8. Emergency Justification Statement:

P.L. 110-245 section 111 added Code section 45P. Form 8932 is based on IRC 45P. Final version of the form and instructions were finalized within
the last two weeks. If not available by 12/31/2008, taxpayers will not be have the ability to file their tax returns until March 2009. Thus, denying the
taxpayer a timely refund they are entitled to and adding the additional taxpayer burden of having to file an amended return to claim the credit on their
tax return. This credit is a general business credit and is required to be attached to their return.

IC INFORMATION

9. Title: Credit for Employer Differential Wage Payments
10. Agency form number(s) (if applicable):

Form 8932

11. Authorizing Statute(s) for this IC:
US Code: 45P
Public Law:
Statute at Large:
EO:

USC:
Public Law:
Statute:
EO:

110-245

Name of Law: Credit
Section: 111
Name of Law:
Name/Subject of EO:

for Employer Differenti
Name of Law:

Heroes Earnings Assistance a

12. Abstract:

Qualified employers will file Form 8932 to claim the credit for qualified differential wage payments paid to qualified employees after June 17, 2008,
and before January 1, 2010. Authorized under I.R.C. section 45P.

13. Affected Public: (Mark primary with “P” and all others that
apply with “X”)
X Individuals or households
P Business or other for-profit
X Not-for-profit institutions

x Farms
Federal Government
x State, Local, or Tribal Gov’t

14. Annual Reporting and Recordkeeping burden hours:
a. Number of respondents . . . . . . . . .
b. Total annual responses . . . . . . . . .
1. Percentage of these responses
collected electronically . . . . . . . .
c.
d.
e.
f.

Total annual hours requested .
Current OMB inventory. . . . . .
Difference . . . . . . . . . . . . . .
Explanation of difference
1. Program change . . . . . . . .
2. Adjustment . . . . . . . . . . . .

21,100
21,100
75%

. . . . 62,456
.... 0
. . . . 62,456
....
. . . . 62,456

14a. Verification of estimated filers: (Provide source of
estimated filers)

U.S. Census notes 526,355 small business with 20-99
employees. Estimate 40% have fewer than 50 employees
and 10% have active duty employees (rounded up).
15. Statistical Method: Does the ICR contain surveys,
censuses, or employ statistical methods?
Yes

Form 14029 (9-2008)

16. Obligation to respond: (Mark primary with “P” and all
others that apply with “X”)

No

Catalog Number 51944B

Voluntary

Mandatory

P Required to obtain or retain benefits

17. CFR citations: (Provide source(s) of change)
CFR
CFR
CFR

A.
B.
C.

18. Purpose of IC: (Mark primary with “P” and all others that
apply with “X”)
Application for benefits
Program evaluation
General Purpose statistics
Audit

p

Program planning or management
Research
Regulatory or compliance

19. Frequency of Recordkeeping or Reporting: (check all
that apply)
Recordkeeping
Reporting:
On occasion
Quarterly
Biennially

Third party disclosure
Weekly
Semi-annually
Other (describe)

Monthly
Annually

20. Agency Contact:
Name:

Emile R. Beausejour

Phone:

(202) 622-8003

Department of the Treasury–Internal Revenue Service

SUPPORTING STATEMENT
1. CIRCUMSTANCES NECESSITATING COLLECTION OF INFORMATION
Form 8932, Credit for Employer Differential Wage Payments, was developed to carry out the provisions of new Code
section 45P. This new section was added by section 111 of the Heroes Earnings Assistance and Relief Tax Act of
2008 (P.L. 110-245). The new form provides a means for the eligible small business employers to claim the credit.
This credit is a general business credit and is required to be attached to the tax return.

2. USE OF DATA
Form 8932 will provide eligible small business employers a standardized format to claim this credit.

3. USE OF IMPROVED INFORMATION TECHNOLOGY TO REDUCE BURDEN
Upon approval, we plan to offer electronic filing on Form 1040.

4. EFFORTS TO IDENTIFY DUPLICATION
We have attempted to eliminate duplication within the agency wherever possible.

5. METHODS TO MINIMIZE BURDEN ON SMALL BUSINESSES OR OTHER SMALL ENTITIES
The form is designed for a small business concern due to the statutory restrictions for eligibility.

6. CONSEQUENCES OF LESS FREQUENT COLLECTION ON FEDERAL PROGRAMS OR
POLICY ACTIVITIES
Not applicable.

7. SPECIAL CIRCUMSTANCES REQUIRING DATA COLLECTION TO BE INCONSISTENT
WITH GUIDELINES IN 5 CFR 1320.5(d)(2)
Not applicable.

8. CONSULTATION WITH INDIVIDUALS OUTSIDE OF THE AGENCY ON AVAILABILITY
OF DATA, FREQUENCY OF COLLECTION, CLARITY OF INSTRUCTIONS AND FORMS,
AND DATA ELEMENTS
Periodic meetings are held between IRS personnel and representatives of the American Bar Association, the National
Society of Public Accountants, the American Institute of Certified Public Accountants, and other professional groups to
discuss tax law and tax forms. During these meetings, there is an opportunity for those attending to make comments
regarding Form 8932.
We will publish a notice in the Federal Register in the near future to solicit public comments on Form 8932.

9. EXPLANATION OF DECISION TO PROVIDE ANY PAYMENT OR GIFT TO RESPONDENTS
Not applicable.

10. ASSURANCE OF CONFIDENTIALITY OF RESPONSES
Generally, tax returns and tax return information are confidential as required by 26 U.S.C. 6103.

11. JUSTIFICATION OF SENSITIVE QUESTIONS
Not applicable.

12. ESTIMATED BURDEN OF INFORMATION COLLECTION
List the number of responses, time per response, and total burden for each form included in the submission.
Number of
Time per
Total
Form
Responses
Response
Hours
8932
21,100
2.96
62,456
Estimates of the annualized cost to respondents for the hour burdens shown are not available at this time.

13. ESTIMATED TOTAL ANNUAL COST BURDEN TO RESPONDENTS
Estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to provide
information are not available at this time.

14. ESTIMATED ANNUALIZED COST TO THE FEDERAL GOVERNMENT
After consultation with various functions within the Service, we have determined that the cost of developing,
printing, processing, distribution and overhead for the form is $5,000.

15. REASONS FOR CHANGE IN BURDEN
Not applicable. This is a new form.

16. PLANS FOR TABULATION, STATISTICAL ANALYSIS AND PUBLICATION
Not determined at this this time.

17. REASONS WHY DISPLAYING THE OMB EXPIRATION DATE IS INAPPROPRIATE
See attached.

18. EXCEPTIONS TO THE CERTIFICATION STATEMENT ON OMB PRA SUBMISSION FORM
Not applicable.
Note: The following paragraph applies to all of the collections of information in this submission:
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless
the collection of information displays a valid OMB control number. Books or records relating to a collection of
information must be retained as long as their contents may become material in the administration of any internal
revenue law. Generally, tax returns and tax return information are confidential, as required by 26 U.S.C. 6103.

19. REASON FOR EMERGENCY SUBMISSION
P.L. 110-245 section 111 added Code section 45P. Form 8932 is based on IRC 45P. Final version of the form and
instructions were finalized within the last two weeks. If not available by 12/31/2008, taxpayers will not be have the
ability to file their tax returns until March 2009. Thus, denying the taxpayer a timely refund they are entitled to and
adding the additional taxpayer burden of having to file an amended return to claim the credit on their tax return. This
credit is a general business credit and is required to be attached to their return.