Form 3911 - Taxpayer Statement Regarding Refund

OMB 1545-1384

If taxpayer inquires about their non-receipt of refund (or lost or stolen refund) and the refund has been issued, the information and taxpayer signature are needed to begin tracing action.

The latest form for Form 3911 - Taxpayer Statement Regarding Refund expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 3911 Form 3911 - Taxpayer Statement Regarding Refund Form and Instruction
SUP STAT (Form 3911) - 1545-1384-clean.docx Supporting Statement A
Form 3911 - Taxpayer Statement Regarding Refund Form and Instruction

All Historical Document Collections

202312-1545-008	Extension without change of a currently approved collection	2024-01-31
202007-1545-022	Extension without change of a currently approved collection	2020-11-25
201706-1545-017 Approved without change	Extension without change of a currently approved collection	2017-09-26
201311-1545-001 Approved without change	Extension without change of a currently approved collection	2014-05-29
201011-1545-039 Approved without change	Revision of a currently approved collection	2011-03-16
200712-1545-007 Approved without change	Extension without change of a currently approved collection	2008-01-17
200412-1545-009 Approved without change	Extension without change of a currently approved collection	2004-12-08
200110-1545-008 Approved without change	Extension without change of a currently approved collection	2001-10-17
199810-1545-020 Approved without change	Extension without change of a currently approved collection	1998-10-22
199508-1545-046 Approved without change	Extension without change of a currently approved collection	1995-08-07
199304-1545-008 Approved without change	New collection (Request for a new OMB Control Number)	1993-04-07