Information Collection

Claim for Refund and Request for Abatement

IC 16765 under ICR 201107-1545-018 · OMB 1545-0024.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0024 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 843 Claim for Refund and Request for Abatement	Form
irs.gov--Form 843--Inst..pdf	Instruction
Form 843 Claim for Refund and Request for Abatement irs.gov--Form 843.pdf	Form
Form 943 Claim for Refund and Request for Abatement Form 843 (2011 Draft).pdf	Form
Summary of Changes.pdf Summary of Changes	IC Document
Burden Form 843.PDF Burden	IC Document

IC Title:

Claim for Refund and Request for Abatement

Agency IC Tracking Number:

EC-0024-041

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 301.6404-2 26 CFR 301.9100-1

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 843	Claim for Refund and Request for Abatement	irs.gov--Form 843.pdf	Yes	No	Fillable Printable
Instruction			irs.gov--Form 843--Inst..pdf	Yes	No	Printable Only
Form	Form 943	Claim for Refund and Request for Abatement	Form 843 (2011 Draft).pdf	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 550,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	550,500	5,000	545,500
Annual IC Time Burden (Hours)	875,295	24,315	850,980
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Summary of Changes	Summary of Changes.pdf	07/26/2011
Burden	Burden Form 843.PDF	07/26/2011

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