This request is
approved for use through April 1982 and may only be used with
respect to the reporting of tax year 1981 data. This clearance will
NOT be extended unless the request is either to convert the
quarterly requirement to an annual or the Department provides
significant information, including data on potential revenue losses
and savings resulting from fewer filings (both private and Federal)
justifying the continuation of the quarterly report.
Inventory as of this Action
Requested
Previously Approved
04/30/1982
04/30/1982
12/31/1981
19,508,040
0
18,738,000
26,227,000
0
35,938,000
0
0
0
FORM 941 IS USED BY EMPLOYERS TO
REPORT PAYMENTS MADE TO EMPLOYEES SUBJECT TO INCOME AND FICA TAXES
AND THE AMOUNTS OF THESE TAXES. FORM 941E IS USED PRIMARILY BY
STATE & LOCAL GOVERNMENTS TO REPORT WITHHELD INCOME TAXES ONLY.
FORM 941PR IS USED BY EMPLOYERS IN PUERTO RICO TO REPORT FICA TAXES
ONLY AND FORM 941SS IS USED BY EMPLOYERS IN THE U.S. POSSESSIONS TO
REPORT FICA TAXES ONLY. THE DATA IS USED PRIMARILY TO VERIFY THAT
THE CORRECT TAXES HAVE BEEN PAID.
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:
(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;
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.