Responsible Individual Personal Attestation (RIPA)

Certified Professional Employer Organization (CPEO) Online System, Form 14751, and Form 8973

Documents and Forms

Document Name Document Type
RIPA.pdf www.irs.gov/tax-professionals/responsible-individual-personal-attestation Other-Screenshots: RIPA
RIPA.pdf www.irs.gov/tax-professionals/responsible-individual-personal-attestation Other-Screenshots: RIPA

Information Collection (IC) Details

IC Title:	Responsible Individual Personal Attestation (RIPA)	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
Other-Screenshots: RIPA			RIPA.pdf	https://www.irs.gov/tax-professionals/responsible-individual-personal-attestation	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 10.008 – Certified Professional Employer Organizations	FR Citation: 81 FR 44924

Number of Respondents: 565	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	565	0	565
Annual IC Time Burden (Hours)	22,600	11,300	11,300
Annual IC Cost Burden (Dollars)	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.