Injured Spouse Claim and Allocation

ICR 199912-1545-022

OMB: 1545-1210

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
40073 Migrated
ICR Details
1545-1210 199912-1545-022
Historical Active 199909-1545-006
TREAS/IRS
Injured Spouse Claim and Allocation
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/03/1999
Retrieve Notice of Action (NOA) 12/03/1999
  Inventory as of this Action Requested Previously Approved
11/30/2002 11/30/2002 11/30/2002
300,000 0 300,000
534,000 0 549,000
0 0 0

A non-obligated spouse may file form 8379 to request the non-obligated spouse's share of a joint income tax refund that would otherwise be applied to the past-due obligation owed to a State or Federal agency by the other spouse.

None
None


No

1
IC Title Form No. Form Name
Injured Spouse Claim and Allocation 8379

  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 300,000 300,000 0 0 0 0
Annual Time Burden (Hours) 534,000 549,000 0 0 -15,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
12/03/1999


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