Form 14039-B - Business Identity Theft Affidavit

Identity Theft Affidavit and Business Identity Theft Affidavit

OMB: 1545-2139

IC ID: 188502

Information Collection (IC) Details

View Information Collection (IC)

Form 14039-B - Business Identity Theft Affidavit
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form 14039-B Business Identity Theft Affidavit Form 14039-B (Jan 2014 Rev).pdf Yes No Fillable Printable
Form and Instruction Form 14039-B (SP) Declaracion Jurada sobre el Robo de Identidad de un Negocio Form 14039-B(SP)(Jan 2014 Rev).pdf Yes No Fillable Printable

General Government Taxation Management

Treas/IRS 24.046 – CADE Business Master File   80 FR 54064

100,000 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 20,000 0 0 0 0 20,000
Annual IC Time Burden (Hours) 6,200 0 1,200 0 0 5,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2018 burden form 14039-B 2018-Form_14039-B-Burden Special Business Calc.pdf 02/06/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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