View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1545-0029
ICR Reference No:
200910-1545-022
Status:
Historical Active
Previous ICR Reference No:
200811-1545-008
Agency/Subagency:
TREAS/IRS
Agency Tracking No:
Title:
Forms 941, 941-PR , 941-SS and 941-X, Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands; Schedule B
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
10/23/2009
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/19/2009
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2010
04/30/2010
04/30/2010
Responses
37,810,463
0
37,803,963
Time Burden (Hours)
318,884,262
0
318,799,502
Cost Burden (Dollars)
0
0
0
Abstract:
Form 941 is used by employers to report payments made to employees subject to income and social security/Medicare taxes and the amounts of these taxes. Form 941-PR is used by employers in Puerto Rico to report social security and Medicare taxes only. Form 941-SS is used by employers in the U.S. possessions to report social security and Medicare taxes only. Schedule B is used by employers to record their employment tax liability.
Authorizing Statute(s):
None
Citations for New Statutory Requirements:
US Code: 26 USC 3504 Name of Law: Acts to be performed by agents
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
71 FR 58051
10/02/2006
30-day Notice:
Federal Register Citation:
Citation Date:
72 FR 2729
01/22/2007
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
14
IC Title
Form No.
Form Name
Anexo B, (Forma 941-PR) - Registro de la Obligacion Contributiva para los Despositantes de Itinerario Bisemanual
Anexo B (Form 940-PR)
Registro de la Obligacion Contributiva para los Despositantes de Itinerario Bisemanual
Form 941-PR - Planilla para la Declaracion Federal TRIMESTRAL del Patrono
941-PR
Planilla para la Declaracion Federal TRIMESTRAL del Patrono
Form 941-SS - Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands
941-SS
Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands
Form 941-V (PR) (Preprinted) - Payment Voucher
Form 941PR-V
Payment Voucher (preprinted)
Form 941-V (PR) - Payment voucher (OTC)
941PR-V
Payment Voucher
Form 941-V - Payment voucher (Preprinted) and (OTC)
941-V
Payment Voucher
Form 941-X (PR) - Ajuste a la Declaracion Federal TRIMESTRAL del Patrono o Reclamo de Reembolso
941-X (PR)
Ajuste a la Declaracion Federal TRIMESTRAL del Patrono o Reclamo de Reembolso
Form 941-X - Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund
941-X
Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund
Form 941SS -V - Payment Voucher (OTC)
941SS-V OTC
Payment Voucher
Form 941SS -V -(Preprinted)
941-SS-V
Payment Voucher
Forms 941, Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands
941
Employer's Quarterly Federal Tax Return
Scedule D (Form 941) - Report for Discrepancies Caused by Acquisitions, Statutory Mergers, or Consolidations
Schedule D (Form 941)
Report for Discrepancies Caused by Acquisitions, Statutory Mergers, or Consolidations
Schedule B (Form 941) - Report of Tax Liability for Semiweekly Schedule Depositors
Schedule B (Form 941)
Report of Tax Liability for Semiweekly Schedule Depositors
Schedule R (Form 941) - Allocation for Aggregate Form 941 Filers
Schedule R (Form 941)
Allocation for Aggregate Form 941 Filers
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
37,810,463
37,803,963
0
6,500
0
0
Annual Time Burden (Hours)
318,884,262
318,799,502
0
84,760
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Changing Regulations
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The Form 941 family of forms is used by employers to report payments made to employees that are subject to income and social security/Medicare taxes and the amounts of these taxes. The Service needs Schedule R (Form 941) to indentify the separate employers, their EIN's, and their allocated tax payments reported on an aggregate Form 941, Employer' QUARTERLY Federal Tax Return and ensure income tax withholding and reporting compliance. The respondent is the Agent who files the aggregate Form 941 on behalf of the employers that have completed Form 2678 to provide the Agent with such filing authorization. The creation of this new form increases the estimated number of responses by 6,500 and the estimated burden by 84,760 hours.
Annual Cost to Federal Government:
$12,235,028
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Robert Coar 202 622-3795
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
10/19/2009