Information Collection

Form 8809-I

IC 217008 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⚠️ Notice: This information collection may be referencing outdated material.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 8809 Form 8809-I	Form
8809 Application for Extension of Time to file FATCA Form 896 F8809i.pdf	Form
8809-I burden.PDF Burden	IC Document

IC Title:

Form 8809-I

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	8809	Application for Extension of Time to file FATCA Form 8966	F8809i.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50,000

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: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	168,000	168,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden	8809-I burden.PDF	06/12/2015

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