Instructions For Form 3800 - General Business Credit - 2017 Page 6
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6New York Liberty Zone business
enter the credit from Form 8941, line 16 or
The time needed to complete and file
employee credit (Form 8884).
line 18.
this form will vary depending on individual
circumstances. The estimated burden for
Note. If a carryforward amount is entered
See the Instructions for Form 8941 for
individual and business taxpayers filing
on Part III, line 1zz, see the instructions for
more information.
this form is approved under OMB control
Part I, line 4, for the statement to attach.
number 1545-0074 and 1545-0123 and is
Line 4z
Line 3
included in the estimates shown in the
This line is for future use only.
instructions for their individual and
Include any carryforward of the renewal
business income tax return. The estimated
community employment credit on Part III,
Paperwork Reduction Act Notice. We
burden for all other taxpayers who file this
line 3.
ask for the information on this form to carry
form is shown below.
out the Internal Revenue laws of the
Line 4h
United States. You are required to give us
Credit for Small Employer Health
Recordkeeping
30 hr., 51 min.
the information. We need it to ensure that
. . . . . . .
Insurance Premiums (Form 8941).
you are complying with these laws and to
Learning about the
Tax-exempt eligible small employers,
allow us to figure and collect the right
law or the form
1 hr.
. . . . . . .
other than certain farmers' cooperatives,
amount of tax.
Preparing and sending
don't report the credit for small employer
the form to the IRS
1 hr., 32 min.
health insurance premiums on Part III,
You are not required to provide the
. . . .
line 4h. Eligible tax-exempt small
information requested on a form that is
employers will report this credit on Form
subject to the Paperwork Reduction Act
990-T, Exempt Organization Business
unless the form displays a valid OMB
If you have comments concerning the
Income Tax Return.
control number. Books or records relating
accuracy of these time estimates or
If your only source of credit listed on
to a form or its instructions must be
suggestions for making this form simpler,
Part III, line 4h, is from pass-through
retained as long as their contents may
we would be happy to hear from you. See
entities, you aren't required to complete or
become material in the administration of
the instructions for the tax return with
attach Form 8941. Instead, enter the credit
any Internal Revenue law. Generally, tax
which this form is filed.
directly on Part III, line 4h.
returns and return information are
Eligible small employers (other than
confidential, as required by Internal
tax-exempt eligible small employers) will
Revenue Code section 6103.
Instructions for Form 3800 (2017)
-6-
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