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1545-0004 199508-1545-024
Historical Active 199307-1545-043
TREAS/IRS
Determination of Employee Work Status for Purposes of Federal Employment Taxes and Income Tax Withholding
Extension without change of a currently approved collection   No
Regular
Approved without change 09/20/1995
Retrieve Notice of Action (NOA) 08/08/1995
Extended through August 1996 to provide additional time for submission under the 1995 PRA. You may omit printing the expiration date on this form.
  Inventory as of this Action Requested Previously Approved
08/31/1996 08/31/1996 07/31/1996
9,730 0 0
347,264 0 347,264
0 0 0