Limited Payability Claim Against the United States For Proceeds of the Internal Revenue Refund Check

ICR 200606-1545-003

OMB: 1545-2024

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1545-2024 200606-1545-003
Historical Active
TREAS/IRS
Limited Payability Claim Against the United States For Proceeds of the Internal Revenue Refund Check
New collection (Request for a new OMB Control Number)   No
Emergency 06/10/2006
Approved without change 06/30/2006
Retrieve Notice of Action (NOA) 06/01/2006
  Inventory as of this Action Requested Previously Approved
12/31/2006 12/31/2006
4,000 0 0
4,000 0 0
0 0 0

This form is used by taxpayers for completing a claim against the United States for the proceeds of an Internal Revenue refund check.

None
None


No

1
IC Title Form No. Form Name
Limited Payability Claim Against the United States For Proceeds of the Internal Revenue Refund Check

  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 4,000 0 0 4,000 0 0
Annual Time Burden (Hours) 4,000 0 0 4,000 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.
06/01/2006


© 2024 OMB.report | Privacy Policy