Information Collection

Form 6627- Environmental Taxes

IC 254805 under ICR 202309-1545-016 · OMB 1545-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0023 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6627 Form 6627- Environmental Taxes	Form
i6627--2023-01-00.pdf	Instruction
i6627--2023-01-00.pdf	Instruction
6627 Environmental Taxes f6627--2023-01-00.pdf	Form
6627 Environmental Taxes f6627--2023-01-00.pdf	Form

IC Title:

Form 6627- Environmental Taxes

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	6627	Environmental Taxes	f6627--2023-01-00.pdf		Yes	Yes	Fillable Fileable
Instruction			i6627--2023-01-00.pdf		Yes	Yes	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 126,280

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	3,400	3,400
Annual IC Time Burden (Hours)	23,800	23,800
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.