Income Verification Express Service Application and Employee Delegation Form

ICR 200702-1545-014 · OMB 1545-2032 · Historical Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1545-2032 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form 13803 Income Verification Express Service Application and Employee Delegation Form	Form	Modified	Repair queued
ombat1.doc	Supplementary Document	Uploaded 2007-02-14	Repair queued
SSNFORM051006.doc	Supporting Statement A	Uploaded 0000-00-00	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
44344	Income Verification Express Service Application and Employee Delegation Form	Form	Modified

ICR Details

OMB Control No: 1545-2032	ICR Reference No: 200702-1545-014
Status: Historical Active	Previous ICR Reference No: 200607-1545-044
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Income Verification Express Service Application and Employee Delegation Form
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/18/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/15/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2010	36 Months From Approved	05/31/2007
Responses	200	0	200
Time Burden (Hours)	100	0	100
Cost Burden (Dollars)	0	0	0

Abstract: Form 13803, Income Verification Express Service Application and Employee Delegation Form, is used to submit the required information necessary to complete the e-services enrollment process for IVES users and to identify delegates receiving transcripts on behalf of the principle account user.

Authorizing Statute(s): US Code: 26 USC 6103(c) Name of Law: Confidentiality and Disclosure of Returns Information

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 66370	11/14/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 11932	03/14/2007
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Income Verification Express Service Application and Employee Delegation Form	13803	Income Verification Express Service Application and Employee Delegation Form

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	200	200
Annual Time Burden (Hours)	100	100
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $245

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Alonzo Manzy 202 283-2397

Common Form ICR: No