Expatriation Initial Information Statement

ICR 200505-1545-026

OMB: 1545-1567

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
40901 Migrated
ICR Details
1545-1567 200505-1545-026
Historical Active 200502-1545-010
TREAS/IRS
Expatriation Initial Information Statement
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 05/05/2005
Retrieve Notice of Action (NOA) 05/05/2005
  Inventory as of this Action Requested Previously Approved
12/31/2006 12/31/2006 12/31/2006
11,000 0 11,000
26,680 0 26,180
0 0 0

Internal Revenue Code Section 6039G requires persons who lose U.S. citizenship to provide information concerning citizenship, income tax liability, net worth, and net assets. Form 8854 is used to report this information.

None
None


No

1
IC Title Form No. Form Name
Expatriation Initial Information Statement FORM-8854

  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 11,000 11,000 0 0 0 0
Annual Time Burden (Hours) 26,680 26,180 0 500 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.
05/05/2005


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