Installment Agreement Request

ICR 200209-1545-003

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
18155 Migrated
ICR Details
1545-1350 200209-1545-003
Historical Active 200007-1545-007
TREAS/IRS
Installment Agreement Request
Extension without change of a currently approved collection   No
Regular
Approved without change 10/25/2002
Retrieve Notice of Action (NOA) 09/11/2002
  Inventory as of this Action Requested Previously Approved
10/31/2005 10/31/2005 11/30/2002
760,000 0 760,000
805,600 0 805,600
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 payment of taxes. The form is used by IRS to establish a payment plan for taxes owed to the federal govern- ment, if appropriate, and to inform taxpayers about the appli- cation fee and their financial responsibilities.

None
None


No

1
IC Title Form No. Form Name
Installment Agreement Request 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) 805,600 805,600 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.
09/11/2002


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