Department of the Treasury — Internal Revenue Service 
Form 13285-A                           Reducing Tax Burden on America's Taxpayers                                                           OMB # 1545-2009 
(Rev. January 2012) 
                                                    (Referral Form for Use by the Public) 
The Internal Revenue Service (IRS) needs the taxpaying public's help in identifying meaningful taxpayer burden reduction opportunities 
that impact a large number of taxpayers. Use this form to refer ideas for reducing taxpayer burden for consideration and possible 
implementation. 

Please answer the following questions to the best of your knowledge. Attach additional sheets if needed. 

Tracking Number
     (Official Use Only) 

Originator's name (Optional)                                                         Date (mmddyyyy) 

Address (Street, City, State & Zip Code) (Optional) 

Phone number (include area code) (Optional)                                          E-mail address (Optional) 

(      ) 

1. Are you?   Individual       Business Owner                 Tax Professional       Other (please specify) 
2. What is the problem/issue causing taxpayer burden? (Be as specific as possible) 

3. What kind of taxpayers or businesses does it affect? (Please check the appropriate block and describe the nature of those affected.) 
        Individuals                                                                Particular Business Industry(s) (Specifiy type, e.g. restaurant, trucking) 
        All Businesses 
        Other (please specify)                                                     Particular Business Entity(s) (specify type, e.g. Partnership, 
                                                                                   Corporation, Sole Propriator, Limited Liability Company) 

4. What is your proposed solution or remedy? (Please check the appropriate box and provide a detailed description of the remedy below.) 
        Simplify forms/publications                           Change regulations or rulings                       Change the tax law 
        Streamline policies or procedures                     Other (please specify) 

Submit the completed form via email to *sbse.otpbr@irs.gov or send to: 
                                                    Internal Revenue Service 
                                                    ATTN: TP Burden Reduction SE:S:TBR 
                                                    5000 Ellin Road C2-470 
                                                    Lanham, MD 20706-1336 
Thank you for taking the time to refer this issue to the IRS. 

Catalog Number 34949Q                                               www.irs.gov             Page 1 of 2           Form 13285-A (Rev. 1-2012) 

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)