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Report of Employer-Owned Life Insurance Contracts
Report of Employer-Owned Life Insurance Contracts
OMB: 1545-2089
IC ID: 182415
OMB.report
TREAS/IRS
OMB 1545-2089
ICR 201107-1545-019
IC 182415
( )
Documents and Forms
Document Name
Document Type
Form 8925
Report of Employer-Owned Life Insurance Contracts
Form and Instruction
8925 Report of Employer-Owned Life Insurance Contracts
2010 8925.pdf
Form and Instruction
F8925_brdn_busi_Chg.pdf
Form 8925 Burden Computation
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Report of Employer-Owned Life Insurance Contracts
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
26 CFR 1.6039I-1
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
8925
Report of Employer-Owned Life Insurance Contracts
2010 8925.pdf
Yes
Yes
Fillable Fileable
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:
16,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Farms, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
10 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
16,000
0
0
0
0
16,000
Annual IC Time Burden (Hours)
71,360
0
0
0
0
71,360
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Form 8925 Burden Computation
F8925_brdn_busi_Chg.pdf
08/31/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.