Information Collection Request

U.S. Departing Alien Income Tax Statement

ICR 202301-1545-012 · OMB 1545-0138 · Received in OIRA

Forms and Documents

Document Name	Status
Form 2063 U.S. Departing Alien Income Tax Statement Form	Modified
SS-2023_1545-0138-MS-sc-rev.docx Supporting Statement A	2023-02-23

IC Document Collections

IC ID	Document Title	Status
16986	U.S. Departing Alien Income Tax Statement Form	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	TREAS/IRS
OMB Control No	1545-0138
Type of Information Collection	Extension without change of a currently approved collection
Previous ICR Reference No	201911-1545-012
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31