Information Collection

Application for United States Residency Certification

IC 41142 under ICR 201003-1545-032 · OMB 1545-1817.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1817 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8802 Application for United States Residency Certification	Form
09Inst.pdf	Instruction
8802 Application for United States Residency Certification 09Form.pdf	Form
09burden.PDF Burden	IC Document

IC Title:

Application for United States Residency Certification

Agency IC Tracking Number:

ah-1817-032

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 3106

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	8802	Application for United States Residency Certification	09Form.pdf		Yes	No	Printable Only
Instruction			09Inst.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000,000

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	100,000	100,000
Annual IC Time Burden (Hours)	421,000	421,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden	09burden.PDF	03/16/2010

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