U.S. Departing Alien Income Tax Statement

ICR 201607-1545-018

OMB: 1545-0138

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2013-05-14
Supporting Statement A
2016-07-29
IC Document Collections
IC ID
Document
Title
Status
16986 Modified
ICR Details
1545-0138 201607-1545-018
Historical Active 201303-1545-021
TREAS/IRS
U.S. Departing Alien Income Tax Statement
Extension without change of a currently approved collection   No
Regular
Approved without change 12/27/2016
Retrieve Notice of Action (NOA) 07/29/2016
  Inventory as of this Action Requested Previously Approved
12/31/2019 36 Months From Approved 12/31/2016
20,540 0 20,540
17,049 0 17,049
0 0 0

Form 2063 is used by a departing resident alien against whom a termination assessment has not been made, or a departing non- resident alien who has no taxable income from United States sources, to certify that they have satisfied all U.S. income tax obligations. The data is used by the IRS to certify that departing aliens have complied with U.S. income tax laws.

US Code: 26 USC 6851 Name of Law: Termination assessments of income tax
  
None

Not associated with rulemaking

  81 FR 29953 05/13/2016
81 FR 49716 07/28/2016
No

1
IC Title Form No. Form Name
U.S. Departing Alien Income Tax Statement 2063 U.S. Departing Alien Income Tax Statement

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 20,540 20,540 0 0 0 0
Annual Time Burden (Hours) 17,049 17,049 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$2,100
No
No
No
No
No
Uncollected
Michael Goodman 202 622-3969

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/29/2016


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