Information Collection

Form 8275 - Disclosure Statement

IC 39853 under ICR 201909-1545-011 · OMB 1545-0889.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0889 can be found here:

Documents and Forms

Document Name Document Type
Form 8275 Form 8275 - Disclosure Statement Form
i8275--2013-08-00.pdf Instruction
8275 Disclosure Statement f8275--2013-08-00.pdf www.irs.gov/form8275 Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 8275 - Disclosure Statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 1.6662 26 CFR 1.6661

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	8275	Disclosure Statement	f8275--2013-08-00.pdf	www.irs.gov/form8275	Yes	Yes	Fillable Fileable
Instruction			i8275--2013-08-00.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 22.062 â Electronic Filing Records; IRS 24.030 â Customer Account Data Engine (CADE) Individual Master File	FR Citation: 84 FR 29586

Number of Respondents: 666,666	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Previously Approved
Annual Number of Responses for this IC	333,333	333,333
Annual IC Time Burden (Hours)	1,893,332	1,893,332
Annual IC Cost Burden (Dollars)	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.