Information Collection

U.S. Departing Alien Income Tax Statement

IC 16986 under ICR 201003-1545-001 · OMB 1545-0138.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0138 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2063 U.S. Departing Alien Income Tax Statement	Form and Instruction
2063 U.S. Departing Alien Income Tax Statement 2063.pdf	Form and Instruction
2009 burden for Form 2063.PDF Burden computation	IC Document

IC Title:

U.S. Departing Alien Income Tax Statement

Agency IC Tracking Number:

ah-0138-20

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	2063	U.S. Departing Alien Income Tax Statement	2063.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,540

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	Previously Approved
Annual Number of Responses for this IC	20,540	20,540
Annual IC Time Burden (Hours)	17,049	17,049
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden computation	2009 burden for Form 2063.PDF	03/01/2010

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