Certified Professional Employer Organization/Customer Reporting Agreement

Certified Professional Employee Organization

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2266 can be found here:

Documents and Forms

Document Name Document Type
Form 8973 Certified Professional Employer Organization/Customer Reporting Agreement Form
8973 Certified Professional Employer Organization/Customer Re f8973--2017-05-00.pdf Form
Instructions to Fo Instructions to Form 8973 i8973--2017-05-00.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Certified Professional Employer Organization/Customer Reporting Agreement	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
Form	8973	Certified Professional Employer Organization/Customer Reporting Agreement	f8973--2017-05-00.pdf		Yes	No	Fillable Printable
Form and Instruction	Instructions to Form 8973	Instructions to Form 8973	i8973--2017-05-00.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: Certified Professional Employer Organization and 501(c)(4) Registration, CPEO & 501 (c)(4), and a Privacy Act System of Records notice (SORN) has been issued for this system under IRS PCLIA ID Number	FR Citation: 81 FR 44924

Number of Respondents: 240	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	240	240
Annual IC Time Burden (Hours)	360	360
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.