TAXPAYER STATEMENT REGARDING REFUND

ICR 198308-1545-015

OMB: 1545-0580

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
130155 Migrated
ICR Details
1545-0580 198308-1545-015
Historical Active 198109-1545-199
TREAS/IRS
TAXPAYER STATEMENT REGARDING REFUND
Extension without change of a currently approved collection   No
Regular
Approved without change 08/23/1983
Retrieve Notice of Action (NOA) 08/12/1983
  Inventory as of this Action Requested Previously Approved
08/31/1986 08/31/1986 09/30/1983
20,000 0 20,000
10,000 0 10,000
0 0 0

TAXPAYERS SOMETIMES CLAIM THAT THEY DID NOT RECEIVE THEIR REFUND CHECK OR THAT IT WAS LOST, STOLEN OR DESTROYED. IN THESE CASES THE TAXPYER IS SENT FORM 3911 TO COLLECT DATA AND CERTIFICATION ON THE ALLEGED NON-RECEIPT. IRS CAN THEN USE THIS INFORMATION TO SUBMIT STOP PAYS TO BGFO WHICH MAKES FINAL DETERMINATION ON REISSUING REFUNDS. (26 USC 6402(A))

None
None


No

1
IC Title Form No. Form Name
TAXPAYER STATEMENT REGARDING REFUND FORM 3911

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 20,000 20,000 0 0 0 0
Annual Time Burden (Hours) 10,000 10,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/12/1983


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