Information Collection

Excise Tax Program Order Blank for Forms and Publications

IC 17807 under ICR 201002-1545-004 · OMB 1545-1096.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9117 Excise Tax Program Order Blank for Forms and Publications	Form
9117 Excise Tax Program Order Blank for Forms and Publication Form 9117.pdf	Form

IC Title:

Agency IC Tracking Number:

ah-1096-022

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 26 CFR 1

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	9117	Excise Tax Program Order Blank for Forms and Publications	Form 9117.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,000

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	Previously Approved
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	500	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.