Small Business Office Order Blank

ICR 200203-1545-015

OMB: 1545-1638

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
18987 Migrated
ICR Details
1545-1638 200203-1545-015
Historical Active 199903-1545-013
TREAS/IRS
Small Business Office Order Blank
Revision of a currently approved collection   No
Regular
Approved without change 05/23/2002
Retrieve Notice of Action (NOA) 03/28/2002
The agency is not required to display the expiration date.
  Inventory as of this Action Requested Previously Approved
05/31/2005 05/31/2005 05/31/2002
45 0 45
2 0 2
0 0 0

Form 12196 is to be used by small business outlets to order IRS tax forms and publications. The form can be faxed directly to the IRS Area Distribution Center for order fulfillment, packaging and mailing.

None
None


No

1
IC Title Form No. Form Name
Small Business Office Order Blank FORM-12196

  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 45 45 0 0 0 0
Annual Time Burden (Hours) 2 2 0 0 0 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.
03/28/2002


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