Privacy Act Statement
We are providing a space where you may provide information that we may use to contact you under the authority of
5 U.S.C. 301. The primary purpose of requesting the information is that the IRS may need to obtain more information in
order to review your request. Potential burden reduction initiatives may be coordinated with all internal and external
stakeholders to ensure that other program areas and interests are not negatively impacted. The information may be
disclosed during judicial processes to Federal agencies responsible for enforcing or implementing a statute, rule,
regulation, order or License pertaining to the burden reduction. Providing the information is voluntary. Not providing any
or all of the contact information may delay or impede the IRS review process if there is inadequate information to
analyze the issue.
Paperwork Reduction Act Notice
We ask for the information on this form to carry out the Internal Revenue laws of the United States. This is a voluntary
form. You are not required to give us the information requested on the form. However, we may not be able to consider
your suggestion if we don't have sufficient information. The average time and expense required to complete and file
this form will vary depending on individual circumstances. The estimated completion time is 15 minutes.
You are not required to provide any information requested on a form that is subject to the Paperwork Reduction Act
unless the form displays a valid OMB control number and is required by law. 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 Internal Revenue Code
section 6103.
If you have suggestions for making this form simpler, we would be happy to hear from you. You can e-mail us at
*taxforms@irs.gov. Please put "Forms Comment" on the subject line. Or you can write to:
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 this form to this address.
Catalog Number 34949Q www.irs.gov Page 2 of 2 Form 13285-A (Rev. 1-2012)