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Form 13614-NR
Form 13614-NR, Nonresident Alien Intake and Interview Sheet.
OMB: 1545-2075
IC ID: 178690
OMB.report
TREAS/IRS
OMB 1545-2075
ICR 201005-1545-069
IC 178690
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2075 can be found here:
2019-10-30 - Extension without change of a currently approved collection
2016-09-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 13614-NR
Form 13614-NR
Form
13614-NR Nonresident Alien Intake and Interview Sheet
Form 13614-NR.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Form 13614-NR
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
13614-NR
Nonresident Alien Intake and Interview Sheet
Form 13614-NR.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Taxation Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
565,039
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
565,039
0
0
0
0
565,039
Annual IC Time Burden (Hours)
141,260
0
0
0
0
141,260
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.