Form 9400 1A PDF Details

The IRS Form 9400 1A is a new form that was released on January 7, 2019. This form is used to report the amount of tax withheld from certain U.S. source income payments made to nonresident aliens. The form must be filed by the payer of the income, and must be accompanied by a statement verifying that the amounts withheld were not less than the required withholding amount. Penalties may apply for failure to withhold or timely file this form. So what does this mean for you? If you're a nonresident alien who received payments from sources within the United States during 2018, you'll need to make sure that your payers are withholding the correct amount of tax from those payments. Otherwise, you may end up with a hefty bill when it's time to file your taxes! Be sure to contact us if you have any questions about how this new form applies to you.

QuestionAnswer
Form NameForm 9400 1A
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesIFR, DEST, MOAs, DOI

Form Preview Example

Form 9400-1a

 

 

 

 

 

 

UNITED STATES

 

 

 

 

Change #

6. Aircraft Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(May 1993)

 

 

 

 

 

DEPARTMENT OF THE INTERIOR

 

 

 

 

 

 

FAA#

 

 

 

 

 

 

 

 

 

 

BUREAU OF LAND MANAGEMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AIRCRAFT FLIGHT REQUEST/SCHEDULE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Initial request information

 

 

 

Cost-Account/Management Code(s)

 

Billee Code (OAS A/C only)

 

 

 

Flight Schedule No.

 

 

PAX Seats

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Initial

 

To/From

 

Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

Make/Model

 

 

 

Date/Time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Color

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check one: • Point-to-Point Flight

• Mission Flight

 

 

Desired A/C Type: • Helicopter

• Airplane

 

 

 

Vendor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mission Objective/Special Needs:

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pilot(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. Passenger/Cargo Information – Indicate Chief of Party with an asterisk (*)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME/TYPE OF CARGO

LBS OR

PROJECT ORDER/

 

DEPT

 

DEST

 

RETURN

NAME/TYPE OF CARGO

LBS OR

PROJECT ORDER/

DEPT

DEST

 

RETURN

CU FT

REQUEST NO.

 

ARPT

 

ARPT

 

TO

CU FT

REQUEST NO.

ARPT

ARPT

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Flight Itinerary (For Mission-Type Flights, Provide Points of Departure/Arrival and Attach Map with Detailed Flight Route and Known Hazards Indicated)

DEPART WITH

DEPART FROM

ENROUTE

ARRIVE AT

 

DROP OFF

KEY POINTS

INFO RELAYED

Date

No. Pax

Lbs.

Airport/Place

ETD

ATD

ETE

Airport/Place

ETA

ATA

No. Pax.

Lbs.

Drop-Off Points, Refueling Stops, Flight Check-Ins, Pickup Points

To/From

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Flight Following

 

FAA IFR

Satellite

FAA VFR With Check-In Every _______ Minutes To

FAA or

Agency

Agency VFR With Check-In via radio Every _15______ Minutes

Frequency(ies): RX-/TX-168.650Nat’l Flight Follow

5. Method of Resource Tracking:

 

Phone

 

Radio

To Scheduling Dispatcher @ ___________________________

 

(Phone Number)

Prior to Takeoff

Each Stop Enroute

Arrival at Destination

To: __________________ @ ___________________________

(Other Office)

(Phone Number)

7. Administrative

Type of Payment

Document:

OAS-23 or

OAS 2

FS 6500-122

Route Document To: RWC

8.Review (If

applicable)

Hazard Analysis

Performed

Dispatch/Aviation

Mgr. Checklist

Other:

9. Close-out

Closed by:

 

Date/Time:

(Hazard Analysis and Dispatch/Aviation Manager Checklist on reverse)

HAZARD ANALYSIS AND DISPATCH/AVIATION MANAGER CHECKLIST

I.MISSION FLIGHT HAZARD ANALYSIS (Fire flights exempt provided a pre-approved plan is in place). The following potential hazards in the area of operations have been checked, have been identified on flight itinerary map, and will be reviewed with Pilot and Chief-of-Party prior to flight.

XMilitary Training Routes (MTRs) or Special-Use Airspace (MOAs, Restricted Areas, etc) N/A

Areas of high-density air traffic (airports); Commercial or other aircraft N/A

XWires/transmission lines; wires along rivers or streams or across canyons N/A

XWeather factors; wind, thunderstorms, etc.

XTowers and bridges

XOther aerial obstructions

XPilot flight time/duty day limitations and daylight/darkness factors

SUNRISE __________________

SUNSET __________________

XLimited flight following communications

High elevations, temperatures, and weights:

MAX LANDING ELEV (MSL) __________________

MIN FLIGHT ALTITUDE AGL. ________________

Transport of hazardous materials N/A

Other ________GPS equipment________________________

__________________________________________________

II. DISPATCHER/AVIATION MANAGEMENT CHECKLIST

xPilot and aircraft carding checked with source list and vendor, carding meets requirements

Or, Necessary approvals have been obtained for use of uncarded cooperator, military, or other government agency aircraft and pilots

xCheck with vendor that an aircraft with sufficient capability to perform mission safely has been scheduled

xQualified Aircraft Chief-of-Party has been assigned to the flight (noted on reverse)

xAll DOI passengers have received required aircraft safety training

xOR, Aviation manager will present detailed safety briefing prior to departure

xBureau Aircraft Chief-of-Party will be furnished with Chief-of- Party/Pilot checklist and is aware of its use

xMeans of flight following and resource tracking requirements have been identified

Flight following has been arranged with another unit if flight crosses jurisdictional boundaries and communications cannot be maintained

xFlight hazard maps have been supplied to Chief-of-Party for non- fire low-level missions

xProcedures for deconfliction of Military Training Routes and Special-Use Airspace have been taken

xChief-of-Party is aware of PPE requirements

XCost analysis has been completed and is attached Other/Remarks:

NOTE: Reference Handbook 9420 for approval(s) required.

A.

_ _____________________

(Chief-of-Party Signature)

B.

_________________________________________________

(Dispatcher or Aviation Manager Signature Required))

C.

 

_____________________________________

_______

(Chief-of-Party Signature)

(Date)

D.

____________________________________ __________

(Authorized Signature) _ (Date)

**For recurring Special-Use Mission, signature is required on Special- Use Air Safety Plan, and not required here.

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