Information Collection

Request for Prompt Assessment Under Internal Revenue Code Section 6501(d)

IC 17255 under ICR 200903-1545-008 · OMB 1545-0430.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0430 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4810 Request for Prompt Assessment Under Internal Revenue Code Section 6501(d)	Form and Instruction
4810 Request for Prompt Assessment Under Internal Revenue Cod 4810.pdf	Form and Instruction

IC Title:

Request for Prompt Assessment Under Internal Revenue Code Section 6501(d)

Agency IC Tracking Number:

ah-0430-008

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	4810	Request for Prompt Assessment Under Internal Revenue Code Section 6501(d)	4810.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,000	0	4,000
Annual IC Time Burden (Hours)	24,800	22,800	2,000
Annual IC Cost Burden (Dollars)	0	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.