Form 940 Worksheet

Employer's Annual Federal Unemployment (FUTA) / Planilla para la Declaración Federal Anual del Patrono de la Contribución Federal para el Desempleo

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0028 can be found here:

Documents and Forms

Document Name Document Type
Worksheet Line 10 F940.pdf Other-worksheet
i940--2016-00-00.pdf Instruction

Information Collection (IC) Details

IC Title:	Form 940 Worksheet	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			i940--2016-00-00.pdf		Yes	No	Printable Only
Other-worksheet			Worksheet Line 10 F940.pdf		Yes	No	Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	41,200	41,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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