Information Collection

Form 9783T

IC 178695 under ICR 200702-1545-010 · OMB 1545-2077.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.