TAXPAYER STATEMENT REGARDING REFUND

ICR 199304-1545-008

OMB: 1545-1384

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
132061 Migrated
ICR Details
1545-1384 199304-1545-008
Historical Active
TREAS/IRS
TAXPAYER STATEMENT REGARDING REFUND
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/09/1993
Retrieve Notice of Action (NOA) 04/07/1993
  Inventory as of this Action Requested Previously Approved
05/31/1996 05/31/1996
520,000 0 0
43,160 0 0
0 0 0

IF TAXPAYER INQUIRES ABOUT THEIR NON-RECEIPT OF REFUND (OR LOST OR STOLEN REFUND) AND REFUND HAS BEEN ISSUED, THE INFORMATION AND TAXPAYER SIGNATURE ARE NEEDED TO BEGIN TRACING ACTION.

None
None


No

1
IC Title Form No. Form Name
TAXPAYER STATEMENT REGARDING REFUND 3911

  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 520,000 0 0 520,000 0 0
Annual Time Burden (Hours) 43,160 0 0 43,160 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.
04/07/1993


© 2024 OMB.report | Privacy Policy