Form 941-X - Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund

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⚠️ Notice: This information collection may be referencing outdated material.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-X Form 941-X - Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund Form
i941x.pdf Instruction
941-X Adjusted Employer's QUARTERLY Federal Tax Return or Clai f941x.pdf Form
2017-Burden-941_X-2017_06162017.pdf 941X Burden_2017 IC Document

Information Collection (IC) Details

IC Title:	Form 941-X - Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund	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	941-X	Adjusted Employer's QUARTERLY Federal Tax Return or Claim for Refund	f941x.pdf		Yes	Yes	Fillable Fileable
Instruction			i941x.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	100,000	0	100,000
Annual IC Time Burden (Hours)	1,950,000	196,000	1,754,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
941X Burden_2017	2017-Burden-941_X-2017_06162017.pdf	06/16/2017

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