Privacy Act and Paperwork Reduction Act Notice.
                              
                            
                         
                         
                      
                     We ask for the information on this form under sections 6103 and 6109 of the Internal Revenue Code. You are required to provide
                        the information
                        requested on this form only if you wish to have your U.S. residency for tax purposes certified in order to claim certain benefits
                        under a tax treaty
                        between the United States and the foreign country (countries) indicated on Form 8802. We need this information to determine
                        if the applicant, in order
                        to obtain benefits under a tax treaty, can be certified as a U.S. resident for tax purposes for the period specified. Failure
                        to provide the requested
                        information may prevent certification. Providing false or fraudulent information may subject you to penalties. If you designate
                        an appointee to
                        receive Form 6166, but do not provide all of the information requested, we may be unable to honor the designation.
                        
                     
                     We may disclose the information to the tax authorities of other countries pursuant to a tax treaty. We may disclose this information
                        to the
                        Department of Justice for civil and criminal litigation. We may also disclose this information to cities, states, and the
                        District of Columbia for use
                        in administering their tax laws, to federal and state agencies to enforce federal nontax criminal laws, or to federal law
                        enforcement and intelligence
                        agencies to combat terrorism.
                        
                     
                     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.
                        
                     
                     The time needed to complete and file this form will vary depending on individual circumstances. The estimated average time
                        is:
                        
                     
                     
                        
                           
                           
                              
                                 | Recordkeeping | 52 min. | 
                              
                                 | Learning about the law or the form
 | 1hr., 24 min. | 
                              
                                 | Preparing the form | 1 hr., 7 min. | 
                              
                                 | Copying, assembling, and sending the form to the IRS
 | 48 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 form to this address. Instead, see Where To Apply on page 2.