Primary Contact Information Change Form

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.