Form W-12 - IRS Paid Preparer Tax Identification Number (PTIN) Application and Renewal

Forms and Documents

Document Name	Status
Form W-12 Form W-12 - IRS Paid Preparer Tax Identification Number (PTIN) Application and Renewal Form	Modified
1545-2190_SS_REV_19MAY2014.docx Supporting Statement A	2014-05-28

IC Document Collections

IC ID	Document Title	Status
194416	Form W-12 - IRS Paid Preparer Tax Identification Number (PTIN) Application and Renewal Form	Modified

ICR Details

OMB Control No: 1545-2190	ICR Reference No: 201402-1545-040
Status: Historical Active	Previous ICR Reference No: 201103-1545-002
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Form W-12 - IRS Paid Preparer Tax Identification Number (PTIN) Application and Renewal
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/23/2014
	Date Received in OIRA: 05/28/2014
Terms of Clearance: Agency must discontinue information collection associated with form W-7P, as the W-12 form is expected to replace this form.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved	10/31/2014
Responses	1,200,000	0	1,200,000
Time Burden (Hours)	1,464,000	0	1,464,000
Cost Burden (Dollars)	0	0	0

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Abstract: Paid tax return preparers are required to obtain a preparer tax identification number (PTIN) by completing Form W-12, IRS Paid Preparer Tax Identification Number (PTIN) Application and Renewal, and to pay the fee required with the application. A third party will administer the PTIN application process. Most applications will be filled out on-line. Form W-12 will be used to collect the information required by § 1.6109-2 and to collect the information the third party needs to administer the PTIN application process.

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Authorizing Statute(s): US Code: 26 USC 6109 Name of Law: Identifying Numbers
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 76892	12/19/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 29841	05/23/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Form W-12 - IRS Paid Preparer Tax Identification Number (PTIN) Application and Renewal	W-12	IRS Paid Preparer Tax Identification Number (PTIN) Application and Renewal

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,200,000	1,200,000	0	0	0	0
Annual Time Burden (Hours)	1,464,000	1,464,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/28/2014

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