Information Collection

Order Blank for Federal Income Tax Forms for "Plan Only" Accounts -- Form 8628, BPOL Order Blank for Federal Income Tax Forms -- Form 8635, Fax Order Blank For BPOL Reorders -- Form 9383

IC 17972 under ICR 199710-1545-005 · OMB 1545-1222.

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Information Collection (IC) Details

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IC Title:	Order Blank for Federal Income Tax Forms for "Plan Only" Accounts -- Form 8628, BPOL Order Blank for Federal Income Tax Forms -- Form 8635, Fax Order Blank For BPOL Reorders -- Form 9383	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	FORM-8635	No	No
Form	FORM-9383	No	No
Form	FORM-8628	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 63,000	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	63,000	21,000	42,000
Annual IC Time Burden (Hours)	5,450	2,100	3,350
Annual IC Cost Burden (Dollars)	0	0	0

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