Information Collection

Cs-09-155c-; Cs-09-166c-; Cs-10-238- ; Cs-10-239-; Cs-10-240-; Cs-10-241 -

IC 194739 under ICR 200911-1545-013 · OMB 1545-1432.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1432 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CS-155-C.doc	Other-Survey
CS-09-166C.doc	Other-Survey
CS-10-238.doc	Other-Survey
CS-10-239.doc	Other-Survey
CS-10-240.doc	Other-Survey
CS-10-241.doc	Other-Survey
CS 09-155C - Justification Statement.doc CS-09-155C - Justification Statement	IC Document
CS-09-155 - Supporting Statement.doc CS-09-155C - Supporting Statement	IC Document
CS-09-155-C Summary of Change.doc CS-09-155C - Summary of Changes	IC Document
CS09-166C - Justification Statement.doc CS-09-166C - Justification Statement	IC Document
CS-09-166C - Supporting Statement.doc CS-09-166C - Supporting Statement	IC Document
CS-09-166C - Summary of change to burden.doc CS-09-166C - Summary of Changes.	IC Document
CS-10-238 - Justification Statement.doc CS-10-238 - Justification Statement	IC Document
SOI-238 - Supporting Statement.doc CS-10-238 - Supporting Statement	IC Document
CS-10-239 - Justification Statement.doc CS-10-239 - Justification Statement	IC Document
SOI-239 - Supporting Statement.doc CS-10-239 - Supporting Statement	IC Document
CS-10-240 -Justification Statement.doc CS-10-240 - Justification Statement	IC Document
CS-10-240 - Supporting Statement.doc CS-240 - Supporting Statement	IC Document
CS-10-241 - Justification Statement.doc CS-10-241 - Justification Statement	IC Document
CS-10-241 - Supporting Statement.doc CS-10-241 - Supporting Statement	IC Document

IC Title:

CS-09-155C-; CS-09-166C-; CS-10-238- ; CS-10-239-; CS-10-240-; CS-10-241 -

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Survey	CS-155-C.doc	No	Paper Only
Other-Survey	CS-09-166C.doc	No	Paper Only
Other-Survey	CS-10-238.doc	No	Paper Only
Other-Survey	CS-10-239.doc	No	Paper Only
Other-Survey	CS-10-240.doc	No	Paper Only
Other-Survey	CS-10-241.doc	No	Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 115,212

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	19,785	19,785
Annual IC Time Burden (Hours)	6,756	6,756
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CS-09-155C - Justification Statement	CS 09-155C - Justification Statement.doc	09/30/2010
CS-09-155C - Supporting Statement	CS-09-155 - Supporting Statement.doc	09/30/2010
CS-09-155C - Summary of Changes	CS-09-155-C Summary of Change.doc	09/30/2010
CS-09-166C - Justification Statement	CS09-166C - Justification Statement.doc	09/30/2010
CS-09-166C - Supporting Statement	CS-09-166C - Supporting Statement.doc	09/30/2010
CS-09-166C - Summary of Changes.	CS-09-166C - Summary of change to burden.doc	09/30/2010
CS-10-238 - Justification Statement	CS-10-238 - Justification Statement.doc	09/30/2010
CS-10-238 - Supporting Statement	SOI-238 - Supporting Statement.doc	09/30/2010
CS-10-239 - Justification Statement	CS-10-239 - Justification Statement.doc	09/30/2010
CS-10-239 - Supporting Statement	SOI-239 - Supporting Statement.doc	09/30/2010
CS-10-240 - Justification Statement	CS-10-240 -Justification Statement.doc	09/30/2010
CS-240 - Supporting Statement	CS-10-240 - Supporting Statement.doc	09/30/2010
CS-10-241 - Justification Statement	CS-10-241 - Justification Statement.doc	09/30/2010
CS-10-241 - Supporting Statement	CS-10-241 - Supporting Statement.doc	09/30/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.