Information Collection

Form 8802--Application for United States Residency Certification

IC 41142 under ICR 201503-1545-013 · OMB 1545-1817.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1817 can be found here:

Documents and Forms

Document Name Document Type
Form 8802 Form 8802--Application for United States Residency Certification Form
Form 8802--Instructions.pdf Instruction
8802 Application for United States Residency Certification Form 8802.pdf Form
brdn_indiv.pdf Burden IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 8802--Application for United States Residency Certification	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 3106

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	8802	Application for United States Residency Certification	Form 8802.pdf		Yes	No	Fillable Printable
Instruction			Form 8802--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: 1,000,000	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 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	130,132	30,132	100,000
Annual IC Time Burden (Hours)	472,380	109,380	363,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Burden	brdn_indiv.pdf	03/12/2015

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