Information Collection

Application for Special Enrollment Examination

IC 39887 under ICR 201005-1545-056 · OMB 1545-0949.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0949 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2587 Application for Special Enrollment Examination	Form and Instruction
2587 Application for Special Enrollment Examination 2010form.pdf	Form and Instruction

IC Title:

Application for Special Enrollment Examination

Agency IC Tracking Number:

ah-0949-038

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.9 5 CFR 1320.8(b)(3)

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	2587	Application for Special Enrollment Examination	2010form.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11,000

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	11,000	11,000
Annual IC Time Burden (Hours)	11,000	11,000
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.