Information Collection

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

IC 17203 under ICR 200809-1545-020 · OMB 1545-0257.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

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.