Application for Automatic Extension of Time to File U.S. Individual Income Tax Return

ICR 200407-1545-029

OMB: 1545-0188

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1545-0188 200407-1545-029
Historical Active 200107-1545-026
TREAS/IRS
Application for Automatic Extension of Time to File U.S. Individual Income Tax Return
Extension without change of a currently approved collection   No
Regular
Approved without change 09/03/2004
Retrieve Notice of Action (NOA) 07/27/2004
  Inventory as of this Action Requested Previously Approved
09/30/2007 09/30/2007 09/30/2004
5,572,999 0 5,572,999
5,740,189 0 6,353,219
0 0 0

Form 4868 is used by taxpayers to apply for an automatic 4-month extension of time to file Form 1040A, or Form 1040EZ. This form contains data used by the Service to determine if a taxpayer qualifies for the extension.

None
None


No

1
IC Title Form No. Form Name
Application for Automatic Extension of Time to File U.S. Individual Income Tax Return 4868

  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 5,572,999 5,572,999 0 0 0 0
Annual Time Burden (Hours) 5,740,189 6,353,219 0 -613,030 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
07/27/2004


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