Information Collection

Statement of Dissolved Entities

IC 205421 under ICR 201301-1545-016 · OMB 1545-2241.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2241 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 14467-Statement of Dissolved Entities.pdf	Other-Statement

IC Title:

Statement of Dissolved Entities

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-Statement			Form 14467-Statement of Dissolved Entities.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 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 Potential Violation of the PRA
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.