Form 941SS -V -(Preprinted)

Employer's Quarterly Federal Tax Return

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0029 can be found here:

Documents and Forms

Document Name Document Type
Form 941-V (SS) Form 941SS -V -(Preprinted) Form and Instruction
941-V (SS) Payment Voucher 2010 941-SS preprinted voucher.pdf Form and Instruction
2010 941-SS preprinted voucher burden.pdf Burden for 941SS-V IC Document

Information Collection (IC) Details

IC Title:	Form 941SS -V -(Preprinted)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	941-V (SS)	Payment Voucher	2010 941-SS preprinted voucher.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,798,054	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	2,400	2,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Burden for 941SS-V	2010 941-SS preprinted voucher burden.pdf	05/17/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.