Information Collection

Irs

IC 214060 under ICR 202109-1840-007 · OMB 1840-0759.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1840-0759 can be found here:

Documents and Forms

Document Name Document Type
IRS.pdf Other-Screen Shot
IRS.pdf Other-Screen Shot

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	IRS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen Shot			IRS.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	300	300
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.