Information Collection

Primary Contact Information Change Form

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

Documents and Forms

Document Name Document Type
Primary Contact Information Change Form Form
EFTPS instructions.pdf Instruction
EFTPS Primary Contact Information Change Form PCI Form Rev8 06[1].pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Primary Contact Information Change Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	EFTPS Primary Contact Information Change Form	PCI Form Rev8 06[1].pdf		Yes	Yes	Fillable Fileable
Instruction			EFTPS instructions.pdf		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 %

	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

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.