Forms 8109 and 8109-B, Federal Tax Deposit Coupon; and Form 8109-C, FTD Address Change

Documents and Forms

Document Name Document Type
Form 8109-B Forms 8109 and 8109-B, Federal Tax Deposit Coupon; and Form 8109-C, FTD Address Change Form and Instruction
8109-B Federal Tax Deposit Coupon F8109-B_2006.pdf Form and Instruction
8109 Federal Tax Deposit Coupon Book F8109_Draft_2006.pdf Form and Instruction
8109-C FTD Address Change F8109-C_Draft_2006.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Forms 8109 and 8109-B, Federal Tax Deposit Coupon; and Form 8109-C, FTD Address Change	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8109-B	Federal Tax Deposit Coupon	F8109-B_2006.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	8109	Federal Tax Deposit Coupon Book	F8109_Draft_2006.pdf	Yes	Yes	Fillable Fileable
Form	8109-C	FTD Address Change	F8109-C_Draft_2006.pdf	No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9,300,700	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	62,513,333	62,513,333
Annual IC Time Burden (Hours)	1,841,607	1,841,607
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.