Information Collection

Tax Check Waiver

IC 41119 under ICR 201103-1545-015 · OMB 1545-1791.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1791 can be found here:

Documents and Forms

Document Name Document Type
Form 12339 Tax Check Waiver Form
12339 Internal Revenue Service Advisory Council Membership App Form 12339.pdf Form
12339-B Information Reporting Program Advisory Committee Members Form 12339-B.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Tax Check Waiver	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	12339	Internal Revenue Service Advisory Council Membership Application	Form 12339.pdf		Yes	No	Fillable Printable
Form	12339-B	Information Reporting Program Advisory Committee Membership Application	Form 12339-B.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	417	417
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.