Revenue Procedure 2017-15, Qualified Intermediary Agreement

Documents and Forms

Document Name Document Type
Form 14345 Revenue Procedure 2017-15, Qualified Intermediary Agreement Form and Instruction
14345 Application for Qualified Intermediary, Withholding f14345--2016-10-00.pdf Form and Instruction
14345 Application for Qualified Intermediary, Withholding f14345--2016-10-00.pdf Form and Instruction
Rev Proc 2014-39.pdf Revenue Procedure 2014-39 IC Document
Rev Proc 2014-39.pdf Revenue Procedure 2014-39 IC Document
Rev Proc 2000-12.pdf Revenue Procedure 2000-12 IC Document
Rev Proc 2000-12.pdf Revenue Procedure 2000-12 IC Document
Rev Proc 2003-64.pdf Revenue Procedure 2003-64 IC Document
Rev Proc 2003-64.pdf Revenue Procedure 2003-64 IC Document
Rev Proc 2014-47.pdf Revenue Procedure 2014-47 IC Document
Rev Proc 2014-47.pdf Revenue Procedure 2014-47 IC Document
Rev Proc 2004-21.pdf Revenue Procedure 2004-21 IC Document
Rev Proc 2004-21.pdf Revenue Procedure 2004-21 IC Document
Rev Proc 2005-77.pdf Revenue Procedure 2005-77 IC Document
Rev Proc 2005-77.pdf Revenue Procedure 2005-77 IC Document
Rev Proc 2017-15.pdf Revenue Procedure 2017-15 IC Document
Rev Proc 2017-15.pdf Revenue Procedure 2017-15 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Revenue Procedure 2017-15, Qualified Intermediary Agreement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 26 CFR 1.441-1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	14345	Application for Qualified Intermediary, Withholding	f14345--2016-10-00.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 24.046 Customer Account Data Engine Business Master File and Treas/IRS 34.047 Audit trail and security records system	FR Citation: 80 FR 54064

Number of Respondents: 88,504	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,097,991	1,097,991
Annual IC Time Burden (Hours)	301,018	301,018
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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