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Form 941-X - Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund
Employer's Quarterly Federal Tax Return
OMB: 1545-0029
IC ID: 187187
OMB.report
TREAS/IRS
OMB 1545-0029
ICR 202006-1545-015
IC 187187
( )
⚠️ Notice: This information collection may be referencing outdated material.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-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-6-17-20draft.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
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:
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
941-X
Adjusted Employer's QUARTERLY Federal Tax Return or Claim for Refund
f941x-6-17-20draft.pdf
Yes
Yes
Fillable Fileable
Instruction
i941x.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Taxation Management
Privacy Act System of Records
Title:
IRS 24.046-Customer Account Data Engine Business Master File
FR Citation:
80 FR 54064
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
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
100,000
0
0
0
0
100,000
Annual IC Time Burden (Hours)
3,014,000
0
0
0
0
3,014,000
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.