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OMB Control No: 1545-2235	ICR Reference No: 202511-1545-017
Status: Received in OIRA	Previous ICR Reference No: 202211-1545-013
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Form 14417 - Reimbursable Agreement - Non-Federal Entities; Form 14417-A - Statistics of Income - User Fee
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 04/30/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2026
Responses	65	310
Time Burden (Hours)	35	160
Cost Burden (Dollars)	0	0

Authorizing Statute(s): US Code: 26 USC 6108(b) Name of Law: Special Statistical Studies
   US Code: 26 USC 7213A Name of Law: Unauthorized inspection of return or return information
   US Code: 26 USC 7213 Name of Law: Unauthorized disclosure return
   US Code: 26 USC 6103(p) Name of Law: Procedure and recordkeeping
   US Code: 26 USC 7431 Name of Law: Civil damages for unauthorized inspection or disclosure of returns and return information

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	65	310	-245
Annual Time Burden (Hours)	35	160	-125
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Changes were made to the burden previously approved to update the estimated number of responses based on the most recent filing data. The annual number of responses requested is 65 (a decrease of 245 from the previously approved 310). No changes have been made to the form. The change in estimated responses results in an overall hourly burden decrease of 125 and current burden estimate is 35 hours as previously approved was 160 hours.

Annual Cost to Federal Government: $42,408

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: Dyani Farrar 202 317-4324

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