Information Collection

Form 928

IC 39825 under ICR 202110-1545-012 · OMB 1545-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0725 can be found here:

Documents and Forms

IC Title:

Form 928

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 48.4101-1

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	928	Taxable Fuel Bond	Form 928--2017-09-00.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	1,280	1,280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
TD 8659	TD 8659.pdf	06/13/2018

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