Notice of Expatriation and
Waiver of Treaty Benefits
Extension without change of a currently approved collection
No
Regular
04/29/2022
Requested
Previously Approved
36 Months From Approved
04/30/2022
500
500
2,840
2,840
0
0
Information used by taxpayer to notify
payer of expatriation so that proper tax treatment is applied by
payer. The taxpayer is required to file this form to obtain any
benefit accorded by the statute.
PL:
Pub.L. 110 - 245 301 Name of Law: Title III: Revenue
Provisions
US Code: 26
USC 877A Name of Law: Tax responsibilities of expatriation
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.