Information Collection

U.S. Departing Alien Income Tax Return

IC 16878 under ICR 200708-1545-023 · OMB 1545-0086.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0086 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1040-C U.S. Departing Alien Income Tax Return	Form
Inst 1040-C.pdf	Instruction
1040-C U.S. Departing Alien Income Tax Return F1040-C.pdf	Form

IC Title:

U.S. Departing Alien Income Tax Return

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 1.6851-1

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	1040-C	U.S. Departing Alien Income Tax Return	F1040-C.pdf		Yes	No	Printable Only
Instruction			Inst 1040-C.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	11,632	11,632
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.