Information Collection

Form 1028--Application for Recognition of Exemption Under Section 521 of the Internal Revenue Code

IC 16827 under ICR 201411-1545-004 · OMB 1545-0058.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0058 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1028 Form 1028--Application for Recognition of Exemption Under Section 521 of the Internal Revenue Code	Form
Form1028 Instructions.pdf	Instruction
1028 Application for Recognition of Exemption Under Section 5 Form1028.pdf	Form
Burden.PDF 2014 Burden Form 1028	IC Document

IC Title:

Form 1028--Application for Recognition of Exemption Under Section 521 of the Internal Revenue Code

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 1.6001-1 26 CFR 1.521

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	1028	Application for Recognition of Exemption Under Section 521 of the Internal Revenue Code	Form1028.pdf		Yes	No	Fillable Printable
Instruction			Form1028 Instructions.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Farms, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	50	0	50
Annual IC Time Burden (Hours)	3,594	1,049	2,545
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2014 Burden Form 1028	Burden.PDF	11/10/2014

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