Form 941SS -V - Payment Voucher (OTC)

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⚠️ Notice: This information collection may be referencing outdated material.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 SS Form 941SS -V - Payment Voucher (OTC) Form and Instruction
941 SS Employer’s QUARTERLY Federal Tax Return SS 2017_f941ss.pdf Form and Instruction
2017-Burden 941_SS_V.pdf Burden 941 SS V 2017 IC Document

Information Collection (IC) Details

IC Title:	Form 941SS -V - Payment Voucher (OTC)	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 SS	Employer’s QUARTERLY Federal Tax Return SS	2017_f941ss.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	30,000	30,000
Annual IC Time Burden (Hours)	29,100	29,100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Burden 941 SS V 2017	2017-Burden 941_SS_V.pdf	06/16/2017

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