Information Collection

Corporation Application for Tentative Refund

IC 17281 under ICR 201309-1545-026 · OMB 1545-0582.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1139 Corporation Application for Tentative Refund	Form
Instructions for 1139.pdf	Instruction
1139 Corporation Application for Tentative Refund 1139.pdf	Form
brdn_busi.pdf Burden for Form 1139	IC Document

IC Title:

Agency IC Tracking Number:

ah-0582-008

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	1139	Corporation Application for Tentative Refund	1139.pdf		Yes	No	Printable Only
Instruction			Instructions for 1139.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,750

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,750	3,750
Annual IC Time Burden (Hours)	165,938	165,938
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden for Form 1139	brdn_busi.pdf	09/09/2013

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