Information Collection

Form 13614-NR--Nonresident Alien Intake and Interview Sheet

IC 178690 under ICR 201609-1545-021 · OMB 1545-2075.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2075 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 13614NR Form 13614-NR--Nonresident Alien Intake and Interview Sheet	Form
13614NR Nonresident Alien Intake and Interview Sheet Form13614-NR.pdf	Form

IC Title:

Form 13614-NR--Nonresident Alien Intake and Interview Sheet

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	13614NR	Nonresident Alien Intake and Interview Sheet	Form13614-NR.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 565,039

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	565,039	565,039
Annual IC Time Burden (Hours)	141,260	141,260
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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