Information Collection

Election to Participate in Announcement 2005-80 Settlement Initiative

IC 19709 under ICR 200906-1545-005 · OMB 1545-1970.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 13750 Election to Participate in Announcement 2005-80 Settlement Initiative	Form and Instruction
13750 Election to Participate in Announcement 2005-80 Settleme F13750_2005.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	13750	Election to Participate in Announcement 2005-80 Settlement Initiative	F13750_2005.pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	2,500	2,500
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.