Information Collection

Income Verification Express Service Application and Employee Delegation Form

IC 44344 under ICR 201005-1545-068 · OMB 1545-2032.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 13803 Income Verification Express Service Application and Employee Delegation Form Form
13803 Income Verification Express Service Application and Empl Form 13803.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Income Verification Express Service Application and Employee Delegation Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 26 CFR 301.6103(c)-1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	13803	Income Verification Express Service Application and Employee Delegation Form	Form 13803.pdf		Yes	No	Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	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	200	200
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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