Information Collection

Form 14039-B - Business Identity Theft Affidavit

IC 188502 under ICR 202508-1545-010 · OMB 1545-2139.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 14039-B Form 14039-B - Business Identity Theft Affidavit	Form and Instruction
Form Form 14039-B Business Identity Theft Affidavit Form 14039-B - Business Identity Theft Affidavit	Form and Instruction
Form 14039-B Business Identity Theft Affidavit f14039-b--2021-05-00.pdf	Form and Instruction
Form 14039-B Business Identity Theft Affidavit f14039-b--2021-05-00.pdf	Form and Instruction

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 and Instruction	Form 14039-B				Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: Treas/IRS 24.046 â CADE Business Master File

FR Citation: 80 FR 54064

Number of Respondents: 3,691

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,691	-11,309	15,000
Annual IC Time Burden (Hours)	8,489	-26,011	34,500
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.

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