Primary Contact Information Change Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2100 can be found here:

Documents and Forms

Document Name Document Type
Primary Contact Information Change Form Form and Instruction
EFTPS Primary Contact Information Change Form PCI Form Rev8 06.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Primary Contact Information Change Form	Agency IC Tracking Number:	ah-XXXX-027

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	EFTPS Primary Contact Information Change Form	PCI Form Rev8 06.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,000	12,000
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.