Information Collection

Form 8965 - Reporting of Exemption From Coverage

IC 208335 under ICR 201308-1545-062 · OMB 1545-2257.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
REG-148500-12.pdf REG-148500-12	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 1.5000A-3

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

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30,000,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Requested	Program Change Due to New Statute
Annual Number of Responses for this IC	30,000,000	30,000,000
Annual IC Time Burden (Hours)	6,000,000	6,000,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
REG-148500-12	REG-148500-12.pdf	08/22/2013

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