Information Collection

Form 1127-A---Application for Extension of Time for Payment of IncomeTax for 211 Due to Undue Hardship

IC 200942 under ICR 201208-1545-034 · OMB 1545-2131.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2131 can be found here:

Documents and Forms

Document Name Document Type
Form 1127-A Form 1127-A---Application for Extension of Time for Payment of IncomeTax for 211 Due to Undue Hardship Form and Instruction
1127-A Application for Extension of Time for Payment of Income Form 1127-A_2011.pdf Form and Instruction
Burden.PDF Burden IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 1127-A---Application for Extension of Time for Payment of IncomeTax for 211 Due to Undue Hardship	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1127-A	Application for Extension of Time for Payment of Income Tax for 2011 Due to Undue Hardship	Form 1127-A_2011.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	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	1,000	1,000
Annual IC Time Burden (Hours)	1,210	1,210
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Burden	Burden.PDF	01/30/2012

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