View Information Collection (IC)

View Information Collection (IC)

Form 941-X - Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund
No Modified

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 941-X Adjusted Employer's QUARTERLY Federal Tax Return or Claim for Refund f941x.pdf Yes Yes Fillable Fileable
Instruction i941x.pdf Yes No Printable Only

General Government Taxation Management


100,000 0
Private Sector Businesses or other for-profits
   10 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 100,000 0 0 0 0 100,000
Annual IC Time Burden (Hours) 1,950,000 196,000 0 0 0 1,754,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
941X Burden_2017 2017-Burden-941_X-2017_06162017.pdf 06/16/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.