Information Collection

Primary Contact Information Change Form

IC 183537 under ICR 201012-1545-035 · OMB 1545-2100.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EFTPS Primary Contact Information Change Form Primary Contact Information Change Form	Form
EFTPS instructions.pdf	Instruction
EFTPS Primary Contact Information Change Form PCI Form Rev8 06[1].pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	N/A				Yes	Yes	Fillable Fileable
Instruction					Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	12,000	12,000
Annual IC Time Burden (Hours)	200	200
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.

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