Information Collection

Geographic Availability Statement

IC 17605 under ICR 201810-1545-003 · OMB 1545-0973.

Documents and Forms

Document Name Document Type
Form Form 8569 Geographic Availability Statement Form
Form 8569 Geographic Availability Statement Form 8569 (Rev 04-2006).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Geographic Availability Statement	Agency IC Tracking Number:	jg-0973-028

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 8569	Geographic Availability Statement	Form 8569 (Rev 04-2006).pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 24.030-CADE Individual Master File	FR Citation: 80 FR 54063

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	84	84
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.