Information Collection

Self-assessed Penalties Return And Rules Lr-141-86 Temp.

IC 170591 under ICR 198908-1545-086 · OMB 1545-0909.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0909 can be found here:

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Information Collection (IC) Details

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IC Title:	SELF-ASSESSED PENALTIES RETURN AND RULES LR-141-86 TEMP.	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	8210				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	-1,680	1,730
Annual IC Time Burden (Hours)	288	-1,415	1,703
Annual IC Cost Burden (Dollars)	0	0	0

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Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.