Information Collection

Form 13013-A - Tax Check Waiver

IC 194294 under ICR 201008-1545-039 · OMB 1545-1788.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1788 can be found here:

Documents and Forms

Document Name Document Type
Form 13013-A Form 13013-A - Tax Check Waiver Form
13013-A Tax Check Waiver Tax Waiver Document final II.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 13013-A - Tax Check Waiver	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	13013-A	Tax Check Waiver	Tax Waiver Document final II.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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