OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Limited Payability Claim Against the United States For Proceeds of the Internal Revenue Refund Check

ICR 200610-1545-028 · OMB 1545-2024 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Limited Liability Claim.pdf Supplementary Document Uploaded 2006-10-18 Available
ombat2.doc Supplementary Document Uploaded 2006-10-18 Repair queued
SS.doc Supporting Statement A Uploaded 2006-10-18 Available
IC Document Collections
IC IDCollectionTypeStatusForm
19778 Limited Payability Claim Against the United States For Proceeds of the Internal Revenue Refund Check Modified
ICR Details
1545-2024 200610-1545-028
Historical Active 200606-1545-003
TREAS/IRS
Limited Payability Claim Against the United States For Proceeds of the Internal Revenue Refund Check
Extension without change of a currently approved collection   No
Regular
Approved without change 02/22/2007
Retrieve Notice of Action (NOA) 12/21/2006
  Inventory as of this Action Requested Previously Approved
02/28/2010 36 Months From Approved 02/28/2007
4,000 0 4,000
4,000 0 4,000
0 0 0
This form is used by taxpayers for completing a claim against the United States for the proceeds of an Internal Revenue refund check.
US Code: 26 USC 3331 Name of Law: null
  
None
Not associated with rulemaking
  71 FR 47322 10/18/2006
71 FR 76434 12/21/2006
No
1
IC Title Form No. Form Name
Limited Payability Claim Against the United States For Proceeds of the Internal Revenue Refund Check
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,000 4,000 0 0 0 0
Annual Time Burden (Hours) 4,000 4,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$5,000
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Janet McMullin 859 292-7864
  No
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.
12/21/2006