Information Collection

Form 8275 - Disclosure Statement

IC 39853 under ICR 202211-1545-010 · OMB 1545-0889.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8275 Form 8275 - Disclosure Statement	Form
i8275--2021-01-00 (1).pdf	Instruction
i8275--2021-01-00 (1).pdf	Instruction
8275 Disclosure Statement f8275--2013-08-00.pdf www.irs.gov/form8275	Form
8275 Disclosure Statement f8275--2013-08-00.pdf www.irs.gov/form8275	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 1.6662 26 CFR 1.6661

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	8275	Disclosure Statement	f8275--2013-08-00.pdf	www.irs.gov/form8275	Yes	Yes	Fillable Fileable
Instruction			i8275--2021-01-00 (1).pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: IRS 22.062 â Electronic Filing Records; IRS 24.030 â Customer Account Data Engine (CADE) Individual Master File

FR Citation: 84 FR 29586

Number of Respondents: 666,666

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 1 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	333,333	333,333
Annual IC Time Burden (Hours)	1,893,332	1,893,332
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.