Information Collection

Claim for Refund and Request for Abatement

IC 16765 under ICR 202101-1545-002 · OMB 1545-0024.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0024 can be found here:

2024-07-31 - Extension without change of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 843 Claim for Refund and Request for Abatement	Form
Form 843 Instructions.pdf	Instruction
Form 843 Instructions.pdf	Instruction
Form 843 Claim for Refund and Request for Abatement Form 843.pdf	Form
Form 843 Claim for Refund and Request for Abatement Form 843.pdf	Form
2017-843-2017-10-26 10-58-21 (burden).pdf 2017 Burden	IC Document
2017-843-2017-10-26 10-58-21 (burden).pdf 2017 Burden	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Claim for Refund and Request for Abatement

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 301.6402-2 26 CFR 31.3503-1 26 CFR 301.6404-1, 2, 3 26 CFR 301.6511(a)-1, (b)-1, (f)-1 26 CFR 301.6403-1 26 CFR 53.4961-2 26 CFR 53.4963-1 26 CFR 301.6405-1

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	Form 843	Claim for Refund and Request for Abatement	Form 843.pdf		Yes	No	Fillable Printable
Instruction			Form 843 Instructions.pdf		Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: IRS 24.030--Customer Account Data Engine Individual Master File, formerly Individual Master File, and IRS 34.037--IRS Audit Trail and Security Records System

FR Citation: 80 FR 54064

Number of Respondents: 550,500

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	550,500	550,500
Annual IC Time Burden (Hours)	875,295	875,295
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2017 Burden	2017-843-2017-10-26 10-58-21 (burden).pdf	10/26/2017

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