Form 9783T

EFTPS Individual Enrollment with Third Party Authorization Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2077 can be found here:

Documents and Forms

Document Name Document Type
Form 9783T Form 9783T Form and Instruction
9783T EFTPS Individual Enrollment with Third Party Authorizati Enrollment Form 9783T 9.21.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Form 9783T	Agency IC Tracking Number:	ah-XXXX-010

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	9783T	EFTPS Individual Enrollment with Third Party Authorization Form	Enrollment Form 9783T 9.21.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	167	167
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.