Information Collection

Explanation Of Income Tax Adjustments On Employer's Federal Tax Return & Explicacion De Ajustes En La Declaracion De La Contribucion Del Patrono

IC 130111 under ICR 198109-1545-161 · OMB 1545-0554.

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Document Name	Document Type

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IC Title:

EXPLANATION OF INCOME TAX ADJUSTMENTS ON EMPLOYER'S FEDERAL TAX RETURN & EXPLICACION DE AJUSTES EN LA DECLARACION DE LA CONTRIBUCION DEL PATRONO

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4234PR				No	No
Form	4234				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	135,000	135,000
Annual IC Time Burden (Hours)	67,500	67,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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

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