View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1545-1021	ICR Reference No: 201906-1545-010
Status: Historical Active	Previous ICR Reference No: 201608-1545-017
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Asset Acquisition Statement
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/29/2020
	Date Received in OIRA: 09/27/2019
Terms of Clearance: This ICR is being extended on the basis that Treasury will shortly submit a discontinuance request reflecting the fact that the burden for this information collection is included in approval under OMB # 1545-0074.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2021	36 Months From Approved	07/31/2020
Responses	1,310	0	1,310
Time Burden (Hours)	22,910	0	22,910
Cost Burden (Dollars)	0	0	0

Annual Cost to Federal Government: $13,670

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Joan McAlpine 240 613-5820

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