Information Collection

Disclosure Statement (Form 8275), and Regulation Disclosure Statement (Form 8275-R)

IC 39853 under ICR 200612-1545-030 · OMB 1545-0889.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0889 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8275 instru.pdf	Instruction
Form 8275-R instru.pdf	Instruction
8275 Disclosure Statement Form 8275.pdf	Form
8275-R Regulation Disclosure Statement 8275-R.pdf	Form

IC Title:

Disclosure Statement (Form 8275), and Regulation Disclosure Statement (Form 8275-R)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 3106

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Form 8275-R instru.pdf	Yes	No	Printable Only
Form	8275	Disclosure Statement	Form 8275.pdf	Yes	Yes	Fillable Fileable
Instruction			Form 8275 instru.pdf	Yes	No	Printable Only
Form	8275-R	Regulation Disclosure Statement	8275-R.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 666,666

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 1 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	746,964	80,298	666,666
Annual IC Time Burden (Hours)	4,164,325	447,661	3,716,664
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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