Information Collection

Information Referral

IC 19689 under ICR 202412-1545-003 · OMB 1545-1960.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3949-A Information Referral	Form and Instruction
Form 3949-A Information Referral Information Referral	Form and Instruction
Online Form 3949-A Screenshots.pdf	Other-screenshots
Online Form 3949-A Screenshots.pdf	Other-screenshots
3949-A Information Referral f3949-a--2020-10-00 (1).pdf	Form and Instruction
3949-A Information Referral f3949-a--2020-10-00 (1).pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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 and Instruction	3949-A				Yes	No	Printable Only
Other-screenshots					Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: IRS 22.034--Individual Returns Files, Adjustments and Miscellaneous Documents

FR Citation: 80 FR 54064

Number of Respondents: 215,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	215,000	215,000
Annual IC Time Burden (Hours)	53,750	53,750
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.

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