Instructions For Form 1128 (Rev. 2014) Page 9

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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 must file an application to adopt, change, or retain a tax year. Sections 6001,
6011, 6012(a) and 6109 and their regulations require you to provide the requested information. Failure to provide this
information in a timely manner could delay processing or could result in denial of your application. Providing false
information could subject you to penalties.
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 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 send us comments from Or you can send your
comments to Internal Revenue Service, Tax Forms and Publications Division, 1111 Constitution Ave. NW, IR-6526,
Washington, DC 20224. Do not send the tax form to this office. Instead, see Where To File earlier.
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