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Form 941SS -V -(Preprinted)
Employer's Quarterly Federal Tax Return
OMB: 1545-0029
IC ID: 187193
OMB.report
TREAS/IRS
OMB 1545-0029
ICR 202006-1545-004
IC 187193
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0029 can be found here:
2023-12-27 - Revision of a currently approved collection
2020-09-29 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 941 SS / V
Form 941SS -V -(Preprinted)
Form and Instruction
941 SS / V Employer’s QUARTERLY Federal Tax Return SS
2017_f941ss.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Form 941SS -V -(Preprinted)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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 / V
Employer’s QUARTERLY Federal Tax Return SS
2017_f941ss.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Taxation Management
Privacy Act System of Records
Title:
IRS 22.062 Electronic Filing Records IRS 24.030 Customer Account Data Engine (CADE) Individual Master File IRS 24.046 CADE Business Master File IRS 34.037 IRS Audit Trail and Security
FR Citation:
80 FR 54064
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
10,000
0
0
0
0
10,000
Annual IC Time Burden (Hours)
2,400
0
0
0
0
2,400
Annual IC Cost Burden (Dollars)
0
0
0
0
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.