Information Collection

Form 8966

IC 209774 under ICR 201501-1545-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Instructions for Form 8966.pdf	Instruction
8966 FATCA Report Form 8966.pdf www.irs.gov/form8966	Form
brdn_spec Form 8966.PDF 2013 burden	IC Document

IC Title:

Form 8966

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	www.irs.gov/form8966	Yes	Yes	Fillable Fileable
Instruction			Instructions for Form 8966.pdf		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, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
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 Form 8966.PDF	08/22/2014

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