Information Collection

Application for Tentative Refund

IC 39510 under ICR 201301-1545-037 · OMB 1545-0098.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0098 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1045 Application for Tentative Refund	Form
Form 1045 Instructions (2012).pdf	Instruction
1045 Application for Tentative Refund Form 1045 (2012).pdf	Form
2012...brdn_indiv.pdf Burden Computation	IC Document

IC Title:

Application for Tentative Refund

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 6103

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	1045	Application for Tentative Refund	Form 1045 (2012).pdf		Yes	No	Fillable Printable
Instruction			Form 1045 Instructions (2012).pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 65,220

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	Previously Approved
Annual Number of Responses for this IC	17,503	17,503
Annual IC Time Burden (Hours)	515,114	515,114
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden Computation	2012...brdn_indiv.pdf	01/30/2013

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