Excise Tax Program Order Blank for Forms and Publications

ICR 200208-1545-036

OMB: 1545-1096

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1545-1096 200208-1545-036
Historical Active 200010-1545-021
TREAS/IRS
Excise Tax Program Order Blank for Forms and Publications
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 08/12/2002
Retrieve Notice of Action (NOA) 08/12/2002
  Inventory as of this Action Requested Previously Approved
01/31/2004 01/31/2004 01/31/2004
15,000 0 15,000
500 0 500
0 0 0

Form 9117 allows taxpayers who must file Form 720 returns a systemic way to order additional tax forms and informational publications.

None
None


No

1
IC Title Form No. Form Name
Excise Tax Program Order Blank for Forms and Publications FORM-9117

  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 15,000 15,000 0 0 0 0
Annual Time Burden (Hours) 500 500 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.
08/12/2002


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