Collection Information Statement for Individuals

Offer in Compromise of Liability Incurred under the Provisions of Title 26 U.S.C. Enforced and Administered by TTB; Collection Information Statements for Individuals and Businesses

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0054 can be found here:

Documents and Forms

Document Name Document Type
Form TTB F 5600.17 Collection Information Statement for Individuals Form and Instruction
TTB F 5600.17 Collection Information Statements for Individuals TTB F 5600.17.pdf www.ttb.gov/forms/5000.shtml#general Form and Instruction

Information Collection (IC) Details

IC Title:	Collection Information Statement for Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 27 CFR 70.482(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TTB F 5600.17	Collection Information Statements for Individuals	TTB F 5600.17.pdf	https://www.ttb.gov/forms/5000.shtml#general	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3	-7	10
Annual IC Time Burden (Hours)	9	-21	30
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.