Request for Taxpayer Advocate Service Assistance(and Application for Taxpayer Assistance Order)

Form 911 - Request for Taxpayer Advocate Service Assistance (And Application for Taxpayer Assistance Order)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1504 can be found here:

Documents and Forms

Document Name Document Type
Form Form 911 Request for Taxpayer Advocate Service Assistance(and Application for Taxpayer Assistance Order) Form and Instruction
Form 911 Request for Taxpayer Advocate Service Assistance (and Ap Form 911 (2015).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Request for Taxpayer Advocate Service Assistance(and Application for Taxpayer Assistance Order)	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 and Instruction	Form 911	Request for Taxpayer Advocate Service Assistance (and Application for Taxpayer Assistance Order)	Form 911 (2015).pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 00.003 – Taxpayer Advocate Service and Customer Feedback	FR Citation: 80 FR 54064

Number of Respondents: 93,000	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	93,000	93,000
Annual IC Time Burden (Hours)	46,500	46,500
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.