Information Collection Request

U.S. Departing Alien Income Tax Statement

ICR 202601-1545-022 · OMB 1545-0138 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 2063 U.S. Departing Alien Income Tax Statement Form Modified Available
SS-2026_1545-0138.docx Supporting Statement A Uploaded 2026-01-27 Available
IC Document Collections
IC IDCollectionTypeStatusForm
16986 U.S. Departing Alien Income Tax Statement Form ModifiedU.S. Departing Alien Income Tax Statement
16986 U.S. Departing Alien Income Tax Statement Other-Publication (Instructions) Modified
ICR Details
1545-0138 202601-1545-022
Received in OIRA 202301-1545-012
TREAS/IRS
U.S. Departing Alien Income Tax Statement
Extension without change of a currently approved collection   No
Regular 05/29/2026
  Requested Previously Approved
36 Months From Approved 06/30/2026
20,540 20,540
17,049 17,049
0 0

Form 2063 is used by a departing resident alien against whom a termination assessment has not been made, or a departing non- resident alien who has no taxable income from United States sources, to certify that they have satisfied all U.S. income tax obligations. The data is used by the IRS to certify that departing aliens have complied with U.S. income tax laws.

US Code: 26 USC 6851 Name of Law: Termination assessments of income tax
  
None

Not associated with rulemaking

  91 FR 764 01/08/2026
91 FR 31861 05/28/2026
No

1
IC Title Form No. Form Name
U.S. Departing Alien Income Tax Statement 2063 U.S. Departing Alien Income Tax Statement

  Total Request 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 20,540 20,540 0 0 0 0
Annual Time Burden (Hours) 17,049 17,049 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$26,017
No
    Yes
    Yes
No
No
No
No
Jacqueline Gonzales 240 643-5806

  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.
05/29/2026