Claim for Refund and Request for Abatement

Form 843 - Claim for Refund and Request for Abatement

Documents and Forms

Document Name Document Type
Form Form 843 Claim for Refund and Request for Abatement Form
i843--2021-12-00.pdf Instruction
i843--2021-12-00.pdf Instruction
Form 843 Claim for Refund and Request for Abatement f843--2024-12-00_draft.pdf Form
Form 843 Claim for Refund and Request for Abatement f843--2024-12-00_draft.pdf Form
2017-843-2017-10-26 10-58-21 (burden).pdf 2017 Burden IC Document
2017-843-2017-10-26 10-58-21 (burden).pdf 2017 Burden IC Document

Information Collection (IC) Details

IC Title:	Claim for Refund and Request for Abatement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 301.6404-1, 2, 3 26 CFR 301.6402-2 26 CFR 31.3503-1 26 CFR 301.6511(a)-1, (b)-1, (f)-1 26 CFR 301.6403-1 26 CFR 53.4961-2 26 CFR 53.4963-1 26 CFR 301.6405-1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 843	Claim for Refund and Request for Abatement	f843--2024-12-00_draft.pdf		Yes	Yes	Fillable Fileable
Instruction			i843--2021-12-00.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 24.030--Customer Account Data Engine Individual Master File, formerly Individual Master File, and IRS 34.037--IRS Audit Trail and Security Records System	FR Citation: 80 FR 54064

Number of Respondents: 550,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	550,500	550,500
Annual IC Time Burden (Hours)	875,295	875,295
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2017 Burden	2017-843-2017-10-26 10-58-21 (burden).pdf	10/26/2017

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