Information Collection

U.S. Departing Alien Income Tax Return

IC 16878 under ICR 201009-1545-047 · OMB 1545-0086.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1040-C U.S. Departing Alien Income Tax Return	Form
Instr for Form 1040-C.pdf	Instruction
1040-C U.S. Departing Alien Income Tax Return Form 1040-C.pdf	Form
brdn_indiv.pdf F1040-C_Burden	IC Document
Wrksht 1 brdn_indiv.pdf Form 1040-C (Worksheet 1) Burden	IC Document
Wrksht 2 brdn_indiv.pdf Form 1040-C (Worksheet 2) Burden	IC Document
Summary of Changes 2010.pdf Summary of Changes	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 1.6851-1

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	1040-C	U.S. Departing Alien Income Tax Return	Form 1040-C.pdf		Yes	No	Fillable Printable
Instruction			Instr for Form 1040-C.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

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	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	2,000	-500	2,500
Annual IC Time Burden (Hours)	13,200	-977	14,177
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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