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Federal forms, ICRs, and supporting documents

Information Collection Request

Form 911 - Request for Taxpayer Advocate Service Assistance (And Application for Taxpayer Assistance Order)

ICR 201809-1545-003 · OMB 1545-1504 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form Form 911 Request for Taxpayer Advocate Service Assistance(and Application for Taxpayer Assistance Order) Form and Instruction Modified Available
2018-10-02_SS_1545-1504rMB.doc Supporting Statement A Uploaded 2018-10-02 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
18527 Request for Taxpayer Advocate Service Assistance(and Application for Taxpayer Assistance Order) Form and Instruction Modified
ICR Details
1545-1504 201809-1545-003
Active 201509-1545-042
TREAS/IRS
Form 911 - Request for Taxpayer Advocate Service Assistance (And Application for Taxpayer Assistance Order)
Extension without change of a currently approved collection   No
Regular
Approved without change 02/15/2019
Retrieve Notice of Action (NOA) 12/21/2018
  Inventory as of this Action Requested Previously Approved
02/28/2022 36 Months From Approved 02/28/2019
93,000 0 93,000
46,500 0 46,500
0 0 0
This form is used by taxpayers to apply for relief from a significant hardship which may have already occurred or is about to occur if the IRS takes or fails to take certain actions. This form is submitted to the IRS Taxpayer Advocate Office in the state or city where the taxpayer lives.
US Code: 26 USC 7811 Name of Law: Taxpayer Assistance Orders
  
None
Not associated with rulemaking
  83 FR 27373 06/12/2018
83 FR 27735 12/21/2018
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 93,000 93,000 0 0 0 0
Annual Time Burden (Hours) 46,500 46,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$5,000
No
    Yes
    No
No
No
No
Uncollected
Lisa Hadlock 801 602-3099
  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.
12/21/2018