Form 5884-C - Work Opportunity Credit for Qualified Tax-Exempt Organizations Hiring Qualified Veterans

Forms and Documents

Document Name	Status
Form Form 5884-C Form 5884-C - Work Opportunity Credit for Qualified Tax-Exempt Organizations Hiring Qualified Veterans Form	New
Emergency Justification Memo 5884-C.doc Supplementary Document	2012-01-11
ombat1.doc Supplementary Document	2012-01-10
Supporting Statement.pdf Supporting Statement A	2012-01-12

IC Document Collections

IC ID	Document Title	Status
200727	Form 5884-C - Work Opportunity Credit for Qualified Tax-Exempt Organizations Hiring Qualified Veterans Form	New

ICR Details

OMB Control No: 1545-2226	ICR Reference No: 201201-1545-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: TREAS/IRS	Agency Tracking No: Requesting Approval by 1/20/2012
Title: Form 5884-C - Work Opportunity Credit for Qualified Tax-Exempt Organizations Hiring Qualified Veterans
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 01/20/2012
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/12/2012
	Date Received in OIRA: 01/11/2012
Terms of Clearance: Burden hours revised to better account for recordkeeping and other burden.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2012	6 Months From Approved
Responses	60,530	0	0
Time Burden (Hours)	397,683	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: Form 5884-C is required to allow a tax-exempt organization to claim the Work Opportunity Credit for hiring qualified veterans. PL 112-56, Section 261, expanded the Work Opportunity Credit to tax-exempt organizations.

Emergency Justfication: PL 112-56, Section 261, also known as the "Vow to Hire Heroes Act of 2011" allows the Work Opportunity Credit to be claimed by a qualified tax-exempt organization that hires an unemployed veteran. The new law became effective for qualified veterans that begin work after November 21, 2011, the date of enactment. Form 5884-C was created based on the new law to allow tax-exempt organizations to claim the Work Opportunity Credit.

---

Authorizing Statute(s): PL: Pub.L. 112 - 56 261 Name of Law: Vow to Hire Heroes Act of 2011
  

Citations for New Statutory Requirements: PL: Pub.L. 112 - 56 261 Name of Law: Vow to Hire Heroes Act of 2011

---

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

---

Federal Register Notices & Comments

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
Form 5884-C - Work Opportunity Credit for Qualified Tax-Exempt Organizations Hiring Qualified Veterans	Form 5884-C	Work Opportunity Credit for Qualified Tax-Exempt Organizations Hiring Qualified Veterans

---

ICR Summary of Burden

	Total Approved	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	60,530	0	60,530	0	0	0
Annual Time Burden (Hours)	397,683	0	397,683	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: Form 5884-C was developed as a result of VOW to Hire Heroes Act of 2011, PL 112-56. Section 261 of PL 112-56 expanded the Work Opportunity Credit to tax-exempt organizations that hire unemployed veterans. The tax credit is a reduction in payroll taxes paid by the tax-exempt organization. Form 5884-C allows a tax-exempt organization a way to claim the credit and provides the IRS the information to process the tax credit. The creation of this new form will result in a total estimated burden increase of 60,530 responses and 397,683 hours.

---

Annual Cost to Federal Government: $11,000

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/11/2012

---