Information Collection

Streamlined Non-filer Program

IC 217030 under ICR 202410-1545-006 · OMB 1545-2241.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 14653 Streamlined Non-filer Program	Form
14653 Certification by U.S. Person Residing Outside of the Uni f14653 10 2017.pdf www.irs.gov/pub/irs-pdf/f14653.pdf	Form
14654 Certification by U.S. Person Residing in the United Stat f14654 09 2017.pdf www.irs.gov/pub/irs-pdf/f14654.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	14653	Certification by U.S. Person Residing Outside of the United States for Streamlined Foreign Offshore Procedures	f14653 10 2017.pdf	https://www.irs.gov/pub/irs-pdf/f14653.pdf	Yes	No	Fillable Printable
Form	14654	Certification by U.S. Person Residing in the United States for Streamlined Domestic Offshore Procedures	f14654 09 2017.pdf	https://www.irs.gov/pub/irs-pdf/f14654.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: IRS 24.046-Customer Account Data Engine Business Master File

FR Citation: 80 FR 54064

Number of Respondents: 14,300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	14,300	-700	15,000
Annual IC Time Burden (Hours)	314,600	-15,400	330,000
Annual IC Cost Burden (Dollars)	0	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.