Form 8275 - Disclosure Statement

Disclosure Statement (Form 8275), and Regulation Disclosure Statement (Form 8275-R)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0889 can be found here:

Documents and Forms

Document Name Document Type
Form 8275 Form 8275 - Disclosure Statement Form
Instr for Form 8275.pdf Instruction
8275 Disclosure Statement Form 8275.pdf Form
2009 burden for 8275.PDF 2009 Burden IC Document

Information Collection (IC) Details

IC Title:	Form 8275 - Disclosure Statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 1.6661 26 CFR 1.6662

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	8275	Disclosure Statement	Form 8275.pdf		Yes	Yes	Fillable Fileable
Instruction			Instr for Form 8275.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 666,666	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	333,333	-413,631	746,964
Annual IC Time Burden (Hours)	1,893,332	-2,270,993	4,164,325
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
2009 Burden	2009 burden for 8275.PDF	05/04/2010

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