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

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Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.