U.S. DEPARTING ALIEN INCOME TAX RETURN

ICR 198508-1545-017

OMB: 1545-0086

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
128397 Migrated
ICR Details
1545-0086 198508-1545-017
Historical Active 198407-1545-025
TREAS/IRS
U.S. DEPARTING ALIEN INCOME TAX RETURN
Revision of a currently approved collection   No
Regular
Approved without change 09/30/1985
Retrieve Notice of Action (NOA) 08/15/1985
  Inventory as of this Action Requested Previously Approved
09/30/1988 09/30/1988 07/31/1987
2,000 0 2,000
7,859 0 7,827
0 0 0

FORM 1040C IS USED BY ALIENS DEPARTING THE U.S. TO REPORT INCOME RECEIVED OR EXPECTED TO BE RECEIVED FOR THE ENTIRE TAXABLE YEAR DETERMINED AS NEARLY AS POSSIBLE BY THE DATE OF INTENDED DEPARTURE. THE DATA COLLECTED IS USED TO INSURE THAT THE DEPARTING ALIEN HAS NO OUTSTANDING U.S. TAX LIABILITY. AFFECTED PUBLIC ARE ALIENS DEPARTING THE U.S.

None
None


No

1
IC Title Form No. Form Name
U.S. DEPARTING ALIEN INCOME TAX RETURN 1040C

  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 2,000 2,000 0 0 0 0
Annual Time Burden (Hours) 7,859 7,827 0 32 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/15/1985


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