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Form 12114 - Continuation Sheet for Item # 15 (Additional Information) OF-306, Declaration for Federal Employment
Continuation Sheet for Item # 15 (Additional Information) OF-306, Declaration for Federal Employment
OMB: 1545-1921
IC ID: 19623
OMB.report
TREAS/IRS
OMB 1545-1921
ICR 201711-1545-003
IC 19623
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1921 can be found here:
2024-05-31 - Extension without change of a currently approved collection
2021-03-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 12114
Form 12114 - Continuation Sheet for Item # 15 (Additional Information) OF-306, Declaration for Federal Employment
Form
12114 Continuation Sheet (Additional Information) for OF-306,
Form 12114--2017-04-00.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Form 12114 - Continuation Sheet for Item # 15 (Additional Information) OF-306, Declaration for Federal Employment
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
12114
Continuation Sheet (Additional Information) for OF-306, Declaration for Federal Employment
Form 12114--2017-04-00.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Taxation Management
Privacy Act System of Records
Title:
IRS 24.030--Customer Account Data Engine Individual Master File; IRS 34.037--IRS Audit Trail and Security Records System
FR Citation:
80 FR 54064
Number of Respondents:
24,813
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
24,813
0
0
0
0
24,813
Annual IC Time Burden (Hours)
6,203
0
0
0
0
6,203
Annual IC Cost Burden (Dollars)
0
0
0
0
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.