Information Collection

Form 13614-T, Telephone Excise Tax Refund Form 1040EZ-T Intake Sheet

IC 46046 under ICR 200611-1545-025 · OMB 1545-2057.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2057 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 13614-T Form 13614-T, Telephone Excise Tax Refund Form 1040EZ-T Intake Sheet	Form
13614-T Telephone Excise Tax Refund Form 1040EZ-T Intake Sheet Form13614T_111406_3.doc	Form

IC Title:

Form 13614-T, Telephone Excise Tax Refund Form 1040EZ-T Intake Sheet

Agency IC Tracking Number:

ah-XXXX-025

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 1

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	13614-T	Telephone Excise Tax Refund Form 1040EZ-T Intake Sheet	Form13614T_111406_3.doc		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 491,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	491,500	491,500
Annual IC Time Burden (Hours)	81,917	81,917
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.