Information Collection

Power of Attorney and Declaration of Representative

IC 39633 under ICR 201107-1545-016 · OMB 1545-0150.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0150 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2848 Power of Attorney and Declaration of Representative	Form
Form_2838_INST_revOCT2011.pdf	Instruction
2848 Power of Attorney and Declaration of Representative Form_2848_revOCT2011.pdf	Form
F2848brdn_indiv.pdf Form 2848 On-Line 2010 Burden	IC Document

IC Title:

Power of Attorney and Declaration of Representative

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	2848	Power of Attorney and Declaration of Representative	Form_2848_revOCT2011.pdf		Yes	Yes	Fillable Fileable
Instruction			Form_2838_INST_revOCT2011.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 533,333

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 19 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	458,333	0	458,333
Annual IC Time Burden (Hours)	912,083	156,250	755,833
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Form 2848 On-Line 2010 Burden	F2848brdn_indiv.pdf	07/25/2011

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