Form 13614-NR

Form 13614-NR, Nonresident Alien Intake and Interview Sheet.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2075 can be found here:

Documents and Forms

Document Name Document Type
Form 13614-NR Form 13614-NR Form
13614-NR Nonresident Alien Intake and Interview Sheet 39748J06-image3.pdf Form

Information Collection (IC) Details

IC Title:	Form 13614-NR	Agency IC Tracking Number:	ah-XXXX-008

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	13614-NR	Nonresident Alien Intake and Interview Sheet	39748J06-image3.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 565,039	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	565,039	565,039
Annual IC Time Burden (Hours)	141,260	141,260
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.