Information Collection

Form 911

IC 18527 under ICR 202111-1545-012 · OMB 1545-1504.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1504 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 911 Form 911	Form and Instruction
Form Form 911 Request for Taxpayer Advocate Service Assistance (and Application for Taxpayer Assistance Order) Form 911	Form and Instruction
Form 911(SP) Solicitud de Ayuda del Servicio del Defensor del Contribuyente Form 911	Form and Instruction
Form 911 Request for Taxpayer Advocate Service Assistance (and Ap f911--2022-01-00.pdf	Form and Instruction
Form 911 Request for Taxpayer Advocate Service Assistance (and Ap f911--2022-01-00.pdf	Form and Instruction
911(SP) Solicitud de Ayuda del Servicio del Defensor del Contrib Form 911(SP)--2019-05-00.pdf	Form and Instruction
911(SP) Solicitud de Ayuda del Servicio del Defensor del Contrib Form 911(SP)--2019-05-00.pdf	Form and Instruction

IC Title:

Form 911

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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 and Instruction	Form 911				Yes	No	Fillable Printable
Form and Instruction	911(SP)				Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: IRS 00.003 â Taxpayer Advocate Service and Customer Feedback

FR Citation: 80 FR 54064

Number of Respondents: 93,000

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	93,000	93,000
Annual IC Time Burden (Hours)	46,500	46,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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