Offshore Voluntary Disclosure Program (OVDP)

Forms and Documents

Document Name	Status
Form 15023 Offshore Compliance Status Response Form and Instruction	New
Form 14653 Streamlined Non-filer Program Form	Unchanged
Form 14467 Statement of Dissolved Entities Form	Unchanged
IRS Response to Treasury OVDP - Streamlined request for public comment (CI forms) 2-8 (2).docx Supplementary Document	2016-04-15
2017-10-05 SS 1545-2241r.doc Supporting Statement A	2017-10-05

IC Document Collections

IC ID	Document Title	Status
228403	Offshore Compliance Status Response Form and Instruction	New
217030	Streamlined Non-filer Program Form	Unchanged
205421	Statement of Dissolved Entities Form	Unchanged
205415	OVDP Foreign Account or Asset Statement Other-Statement	Unchanged
205414	OVDP Penalty Computation Worksheet Other-Worksheet	Unchanged
205413	OVDP Submission Requirements Other-Form 14457	Unchanged

ICR Details

OMB Control No: 1545-2241	ICR Reference No: 201709-1545-015
Status: Historical Active	Previous ICR Reference No: 201506-1545-004
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Offshore Voluntary Disclosure Program (OVDP)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/05/2017
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/18/2017
	Date Received in OIRA: 10/05/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2018	6 Months From Approved	08/31/2019
Responses	474,569	0	474,000
Time Burden (Hours)	758,138	0	757,000
Cost Burden (Dollars)	0	0	0

---

Abstract: The information provided on the submission form will be used to assist in timely determination of acceptance into the Voluntary Disclosure Program. Taxpayers with undisclosed foreign accounts or entities should make a voluntary disclosure because it enables them to become compliant, avoid substantial civil penalties and generally eliminate the risk of criminal prosecution, including penalty sections 6651, 6035, 6038, 6046, 6048, 6651, and 6662.

Emergency Justfication: New Form 15023 is part of the Decline and Withdrawal Campaign #208, related to Offshore Voluntary Disclosure Program (OVDI) taxpayers. Failure to collect this information will prevent the IRS from determining accurately the risk of noncompliance and causing public harm by a misallocation of resources for determining compliance. Taxpayers are required to complete and submit this form with their response to Letter 5935. Information in this form will allow the Internal Revenue Service (IRS) to associate any responses accordingly. The purpose of the soft letter is to gather additional, time sensitive information to determine if the risk of noncompliance warrants examination. Significant delays in gathering supplemental information can lead to imminent and barred statutes, hindering IRS from meeting its mission. These associated tax returns are not under examination and preemptively soliciting a statute extensions is not warranted. In order to maintain the integrity of the OVDP program and campaign the soft letter must be sent in a timely manner. IRS cannot issue soft letters without the associated cover letter which has been converted into a form for consistency purposes.

---

Authorizing Statute(s): US Code: 26 USC 6046 Name of Law: Returns as to organization or reorganization of foreigncorporations and as to acquisitions of their
   US Code: 26 USC 6048 Name of Law: Information with respect to certain foreign trusts
   US Code: 26 USC 6651 Name of Law: Failure to file tax return or to pay tax
   US Code: 26 USC 6662 Name of Law: Imposition of accuracy-related penalty on underpayments
   US Code: 26 USC 6038 Name of Law: Information reporting with respect to certain foreigncorporations and partnerships
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Streamlined Non-filer Program	14654, 14708, 14653	Certification by U.S. Person Residing Outside of the United States for Streamlined Foreign Offshore Procedures ,   Certification by U.S. Person Residing in the United States for Streamlined Domestic Offshore Procedures ,   Streamlined Domestic Penalty Reconsideration Request Related to Canadian Retirement Plans
OVDP Submission Requirements
OVDP Penalty Computation Worksheet
OVDP Foreign Account or Asset Statement
Statement of Dissolved Entities	14467	Statement on Abandoned Entities
Offshore Compliance Status Response	15023	Offshore Compliance Status Response

---

ICR Summary of Burden

	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	474,569	474,000	0	569	0	0
Annual Time Burden (Hours)	758,138	757,000	0	1,138	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: New Form 15023 is part of Campaign #208, related to OVDP taxpayers. Taxpayers are required to complete and submit this form with their response to Letter 5935. Information in this form will allow the Internal Revenue Service (IRS) to associate any responses accordingly. The creation of the Offshore Compliance Status Response form will create an increase in the estimated number of responses by 569/year (from 474,000 to 474,569) and an estimated annual time burden increase of 1,138 hours/year (from 757,000 to 758,138) .

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/05/2017

---