You may omit printing the expiration date on this form.
Inventory as of this Action
Requested
Previously Approved
05/31/1995
05/31/1995
08/31/1992
68,513,333
0
68,513,333
2,016,425
0
2,016,425
0
0
0
FEDERAL TAX DEPOSIT COUPONS ARE USED TO DEPOSIT VARIOUS TYPES OF TAXES AT AUTHORIZED DEPOSITORIES. COUPONS ARE SENT TO IRS CENTERS FOR CREDITING TO TAXPAYERS' ACCOUNTS. DATA IS USED BY IRS TO MAKE THE CREDIT AND TO VERIFY TAX DEPOSITS CLAIMED ON THE RETURNS. THE FTD ADDRESS CHANGE IS USED TO CHANGE THE ADDRESS ON THE FTD COUPONS. ALL TAXPAYERS REQUIRED TO MAKE DEPOSITS ARE AFFECTED.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
FEDERAL TAX DEPOSIT COUPON (8109, 8109-B) FTD ADDRESS CHANGE (8109-C)