Information Collection

Notice of Rescission

IC 193319 under ICR 202312-1545-019 · OMB 1545-2180.

Documents and Forms

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 54.9815-2712

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

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,533	1,533
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	250	250

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
TD 9491	TD 9491.pdf	09/23/2020
TD 9744	TD 9744.pdf	09/23/2020

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