Installment Agreement Request

ICR 200007-1545-007

OMB: 1545-1350

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
18154 Migrated
ICR Details
1545-1350 200007-1545-007
Historical Active 199911-1545-021
TREAS/IRS
Installment Agreement Request
Extension without change of a currently approved collection   No
Regular
Approved without change 08/31/2000
Retrieve Notice of Action (NOA) 07/05/2000
The agency is not required to display the expiration date.
  Inventory as of this Action Requested Previously Approved
11/30/2002 11/30/2002 08/31/2000
760,000 0 760,000
805,600 0 676,400
0 0 0

Form 9465 is used by the public to provide identifying account information and financial ability to enter into an installment agreement for the payment of taxes. The form is used by IRS to establish a payment plan for taxes owed to the federal government, if appropriate, and to inform taxpayers about the application fee and their financial responsibilities.

None
None


No

1
IC Title Form No. Form Name
Installment Agreement Request FORM-9465

  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 760,000 760,000 0 0 0 0
Annual Time Burden (Hours) 805,600 676,400 0 129,200 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.
07/05/2000


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