Information Collection

Form 928

IC 39825 under ICR 202505-1545-008 · OMB 1545-0725.

Documents and Forms

Document Name Document Type
Form 928 Form 928 Form
Form 928 Taxable Fuel Bond Form 928 Form
928 Taxable Fuel Bond Form 928--2017-09-00.pdf Form
928 Taxable Fuel Bond Form 928--2017-09-00.pdf Form
TD 8659.pdf TD 8659 IC Document
TD 8659.pdf TD 8659 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 928	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 48.4101-1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	928	Taxable Fuel Bond	Form 928--2017-09-00.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	1,280	1,280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
TD 8659	TD 8659.pdf	06/13/2018

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

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