Instructions For Form 1128 (Rev. January 2006) (Page 8 of 8) in pdf

Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal

Revenue laws of the United States. Section 442 says that you must obtain IRS approval if you want to adopt, change,

or retain a tax year. To obtain approval, you are required to file an application to adopt, change, or retain a tax year.

Section 6109 requires that you disclose your taxpayer identification number (SSN or EIN). Routine uses of this

information include giving it to the Department of Justice for civil and criminal litigation, and to cities, states, and the

District of Columbia for use in administering their tax laws. Failure to provide this information in a timely manner could

result in approval of your application being delayed or withheld.

In addition, the Privacy Act requires that when we ask you for information we must first tell you our legal right to ask

for the information, why we are asking for it, and what could happen if we do not receive it and whether your response

is voluntary, required to obtain a benefit, or mandatory under the law.

Our authority to ask for information is sections 6001, 6011, and 6012(a) and their regulations, which require you to

file a return or statement with us for any tax for which you are liable. Your response is mandatory under these sections.

Section 6109 requires that you provide your SSN or EIN on what you file. This is so we know who you are, and can

process your return and other papers. You must fill in all parts of the form that apply to you.

You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act

unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be

retained as long as their contents may become material in the administration of any Internal Revenue law. Generally,

tax returns and return information are confidential, as required by section 6103.

However, section 6103 allows or requires the Internal Revenue Service to disclose or give the information shown on

your application to others as described in the Code. For example, we may disclose your tax information to the

Department of Justice to enforce the tax laws, both civil and criminal, and to cities, states, the District of Columbia, U.S.

commonwealths or possessions, and certain foreign governments to carry out their laws. We may also disclose this

information to Federal and state or local agencies to enforce Federal nontax criminal laws and to combat terrorism.

Keep this notice with your records. It may help you if we ask you for other information. If you have any questions

about the rules for filing and giving information, call or visit any Internal Revenue Service office.

The time needed to complete and file this form will vary depending on individual circumstances. The estimated

burden for individual taxpayers filing this form is approved under OMB control number 1545-0074 and is included in the

estimates shown in the instructions for their individual income tax return. The estimated burden for all other taxpayers

who file this form is shown below.

Preparing

and sending

Learning about the

the form to

Recordkeeping

law or the form

the IRS

Parts I and II

8 hr., 36 min.

5 hr., 51 min.

6 hr., 15 min.

Parts I and III

22 hr., 14 min.

5 hr., 37 min.

7 hr., 26 min.

If you have comments concerning the accuracy of these time estimates or suggestions for making this form simpler,

we would be happy to hear from you. You can write to the Internal Revenue Service, Tax Products Coordinating

Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, IR-6406, Washington, DC 20224. Do not send the tax

form to this office. Instead, see Where To File on page 2.

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Instructions For Form 1128 (Rev. January 2006) Page 8

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