Information Collection

Form 8966

IC 209774 under ICR 201312-1545-021 · OMB 1545-2246.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2246 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8966 Form 8966	Form
Form_8966_Instructions,_Draft_10-22-13[1].docx	Instruction
8966 FATCA Report Form_8966.pdf	Form
brdn_spec 2013.PDF 2013 burden	IC Document

IC Title:

Form 8966

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
Form	8966	FATCA Report	Form_8966.pdf		Yes	Yes	Fillable Fileable
Instruction			Form_8966_Instructions,_Draft_10-22-13[1].docx		Yes	No	Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,636,800

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,636,800	4,636,800
Annual IC Time Burden (Hours)	1,947,456	1,947,456
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2013 burden	brdn_spec 2013.PDF	12/23/2013

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