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Form 8453-R - Electronic Filing Declaration for Form 8963
Form 8453-R - Electronic Filing Declaration for Form 8963
OMB: 1545-2253
IC ID: 210086
OMB.report
TREAS/IRS
OMB 1545-2253
ICR 202002-1545-003
IC 210086
( )
Documents and Forms
Document Name
Document Type
Form 8453-R
Form 8453-R - Electronic Filing Declaration for Form 8963
Form and Instruction
8453-R Electronic Filing Declaration for Form 8963
f8453r.pdf
Form and Instruction
brdn_busi.pdf
Burden
IC Document
TD_9544.docx
TD 9544
IC Document
TD_9643 (Final).docx
TD 9643
IC Document
TD_9643 (Correction).rtf
TD 9643 (Correction)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Form 8453-R - Electronic Filing Declaration for Form 8963
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
26 CFR 51.8
26 CFR Part 57 26 CFR Part 51 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
8453-R
Electronic Filing Declaration for Form 8963
f8453r.pdf
Yes
Yes
Fillable Fileable
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:
2,550
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Farms, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
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
2,550
0
0
0
0
2,550
Annual IC Time Burden (Hours)
4,131
0
0
0
0
4,131
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Burden
brdn_busi.pdf
02/10/2017
TD 9544
TD_9544.docx
02/13/2017
TD 9643
TD_9643 (Final).docx
02/13/2017
TD 9643 (Correction)
TD_9643 (Correction).rtf
02/13/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.