Information Collection

Information Referral

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

Documents and Forms

Document Name Document Type
Form 3949-A 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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Information Referral	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3949-A	Information Referral	f3949-a--2020-10-00 (1).pdf		Yes	No	Printable Only
Other-screenshots			Online Form 3949-A Screenshots.pdf		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 %

	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

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.