Claim for Refund and Request for Abatement

Form 843 - Claim for Refund and Request for Abatement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0024 can be found here:

Documents and Forms

Document Name Document Type
Form Form 843 Claim for Refund and Request for Abatement Form
Form 843 Instructions.pdf Instruction
Form 843 Claim for Refund and Request for Abatement Form 843.pdf Form
2017-843-2017-10-26 10-58-21 (burden).pdf 2017 Burden IC Document

Information Collection (IC) Details

IC Title:	Claim for Refund and Request for Abatement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 301.6404-2 26 CFR 301.9100-1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 843	Claim for Refund and Request for Abatement	Form 843.pdf		Yes	No	Fillable Printable
Instruction			Form 843 Instructions.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 24.030--Customer Account Data Engine Individual Master File, formerly Individual Master File, and IRS 34.037--IRS Audit Trail and Security Records System	FR Citation: 80 FR 54064

Number of Respondents: 550,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	550,500	550,500
Annual IC Time Burden (Hours)	875,295	875,295
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2017 Burden	2017-843-2017-10-26 10-58-21 (burden).pdf	10/26/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.