Information Collection

Form 13013-A - Tax Check Waiver

IC 194294 under ICR 201008-1545-039 · OMB 1545-1788.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1788 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 13013-A Form 13013-A - Tax Check Waiver	Form
13013-A Tax Check Waiver Tax Waiver Document final II.pdf	Form

IC Title:

Form 13013-A - Tax Check Waiver

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	13013-A	Tax Check Waiver	Tax Waiver Document final II.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	75	75
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.