Information Collection

Form 712

IC 16757 under ICR 202504-1545-011 · OMB 1545-0022.

Documents and Forms

Document Name Document Type
Form 712 Form 712 Form and Instruction
Form 712 Life Insurance Statement Form 712 Form and Instruction
712 Life Insurance Statement f712--2024-12-00.pdf Form and Instruction
712 Life Insurance Statement f712--2024-12-00.pdf Form and Instruction
2025-712-Burden-2025-01-27 11-13-29.pdf 2025 Burden Computation IC Document
2025-712-Burden-2025-01-27 11-13-29.pdf 2025 Burden Computation IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 712	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 20.6018-4 26 CFR 25.6001-1(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	712	Life Insurance Statement	f712--2024-12-00.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 42.021-Compliance Programs and Project Files.	FR Citation: 80 FR 54064

Number of Respondents: 60,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	60,000	0	60,000
Annual IC Time Burden (Hours)	1,452,600	332,400	1,120,200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
2025 Burden Computation	2025-712-Burden-2025-01-27 11-13-29.pdf	04/25/2025

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

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