OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Form 14417 - Reimbursable Agreement - Non-Federal Entities; Form 14417-A - Statistics of Income - User Fee

ICR 201607-1545-029 · OMB 1545-2235 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 14417-A Form 14417-A - Statistics of Income - User Fee Form Modified Available
Form Form 14417 Form 14417--Reimbursable Agreement - Non-Federal Entities Form and Instruction Unchanged Available
1545-2235_supporting_statement_20160720.doc Supporting Statement A Uploaded 2016-07-29 Available
IC Document Collections
IC IDCollectionTypeStatusForm
206240 Form 14417-A - Statistics of Income - User Fee Form Modified
203932 Form 14417--Reimbursable Agreement - Non-Federal Entities Form and Instruction Unchanged
ICR Details
1545-2235 201607-1545-029
Historical Active 201303-1545-026
TREAS/IRS
Form 14417 - Reimbursable Agreement - Non-Federal Entities; Form 14417-A - Statistics of Income - User Fee
Extension without change of a currently approved collection   No
Regular
Approved without change 12/27/2016
Retrieve Notice of Action (NOA) 07/29/2016
  Inventory as of this Action Requested Previously Approved
12/31/2019 36 Months From Approved 12/31/2016
310 0 310
160 0 160
0 0 0
Information collected with this form will be used by the IRS to enter into cost reimbursable agreements with state, local, foreign government, and commercial entities. The authority to perform services on a cost reimbursable basis is contained in Section 6103(p) of the Internal Revenue Code. Performance of services is authorized when consistent with the basic public obligations of the IRS.
US Code: 26 USC 6108(b) Name of Law: Special Statistical Studies
   US Code: 26 USC 6103(p) Name of Law: Procedure and recordkeeping
   US Code: 26 USC 7213 Name of Law: Unauthorized disclosure return
   US Code: 26 USC 7213A Name of Law: Unauthorized inspection of return or return information
   US Code: 26 USC 7431 Name of Law: Civil damages for unauthorized inspection or disclosure of returns and return information
  
None
Not associated with rulemaking
  81 FR 28941 05/10/2016
81 FR 49716 07/28/2016
No
  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 310 310 0 0 0 0
Annual Time Burden (Hours) 160 160 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$80,000
No
No
No
No
No
Uncollected
Andrea Pawley 202 317-4301
  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.
07/29/2016