Information Collection

Statement To Correct Information Previously Reported Under The Federal Insurance Contributions Act

IC 129568 under ICR 198205-1545-006 · OMB 1545-0256.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0256 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	STATEMENT TO CORRECT INFORMATION PREVIOUSLY REPORTED UNDER THE FEDERAL INSURANCE CONTRIBUTIONS ACT	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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	941C				No	No
Form	941C PR				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,064,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,064,500	0	0	1,064,500
Annual IC Time Burden (Hours)	689,530	81,600	81,600	526,330
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded

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