Information Collection

Primary Contact Information Change Form

IC 183537 under ICR 200801-1545-027 · OMB 1545-2100.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2100 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Primary Contact Information Change Form	Form and Instruction
EFTPS Primary Contact Information Change Form PCI Form Rev8 06.pdf	Form and Instruction

IC Title:

Primary Contact Information Change Form

Agency IC Tracking Number:

ah-XXXX-027

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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	N/A	EFTPS Primary Contact Information Change Form	PCI Form Rev8 06.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	12,000	12,000
Annual IC Time Burden (Hours)	200	200
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.