Form 3911 - Taxpayer Statement Regarding Refund

Form 3911 - Taxpayer Statement Regarding Refund

OMB: 1545-1384

IC ID: 18226

Information Collection (IC) Details

View Information Collection (IC)

Form 3911 - Taxpayer Statement Regarding Refund
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3911 Taxpayer Statement Regarding Refund f3911--2018-01-00--acc.pdf No   Fillable Printable

General Government Taxation Management

 

200,000 0
   
Individuals or Households
 
   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 200,000 0 0 0 0 200,000
Annual IC Time Burden (Hours) 16,600 0 0 0 0 16,600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Revised Privacy Act & PRA Statement REV_PA & PRA Statement_Form_3911_July 2017.docx 07/13/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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