Collection Information Statement for Individuals

Offer in Compromise of liability incurred under the provisions of Title 26 U.S.C. enforced and administered by TTB; Collection Information Statement (CIS) for Individuals; CIS for Businesses

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0054 can be found here:

Documents and Forms

Document Name Document Type
Form TTB F 5600.17 Collection Information Statement for Individuals Form
TTB F 5600.17 Collection Information Statement for Individuals TTB F 5600.17 (09-30-2014).pdf Form

Information Collection (IC) Details

IC Title:	Collection Information Statement for Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 27 CFR 70.482(d)(1)(i)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	TTB F 5600.17	Collection Information Statement for Individuals	TTB F 5600.17 (09-30-2014).pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	4	6
Annual IC Time Burden (Hours)	30	12	18
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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