View Information Collection Request (ICR) Package

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: 1545-2266	ICR Reference No: 202101-1545-010
Status: Historical Active	Previous ICR Reference No: 201709-1545-011
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Certified Professional Employer Organization (CPEO) Forms: 14737,14737-A,14751, 8973 and TD 9860
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/04/2021
	Date Received in OIRA: 03/30/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2024	36 Months From Approved	05/31/2021
Responses	42,205	0	1,725
Time Burden (Hours)	91,065	0	90,830
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	42,205	1,725	40,480
Annual Time Burden (Hours)	91,065	90,830	235
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Changes were made to the burden previously approved to update the estimated number of responses based on the most recent filing data. No changes have been made to the form. The annual number of responses requested is 42,205 (an increase of 40,480 from the previously approved 1,725 and a total burden increase of 235 from (90,830 to 91065).

Annual Cost to Federal Government: $36,908

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

Agency Contact: Crystal Stinson 859 282-3821

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.