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Application for United States Residency Certification
Application for United States Residency Certification
OMB: 1545-1817
IC ID: 41142
OMB.report
TREAS/IRS
OMB 1545-1817
ICR 201003-1545-032
IC 41142
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1817 can be found here:
2023-12-29 - Extension without change of a currently approved collection
2018-10-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 8802
Application for United States Residency Certification
Form
09Inst.pdf
Instruction
8802 Application for United States Residency Certification
09Form.pdf
Form
09burden.PDF
Burden
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for United States Residency Certification
Agency IC Tracking Number:
ah-1817-032
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
26 CFR 3106
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
8802
Application for United States Residency Certification
09Form.pdf
Yes
No
Printable Only
Instruction
09Inst.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Taxation Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,000,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
100,000
0
0
0
0
100,000
Annual IC Time Burden (Hours)
421,000
0
0
0
0
421,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Burden
09burden.PDF
03/16/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.