STATEMENT TO CORRECT INFORMATION

ICR 198908-1545-052

OMB: 1545-0256

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
170388 Migrated
ICR Details
1545-0256 198908-1545-052
Historical Active 198711-1545-006
TREAS/IRS
STATEMENT TO CORRECT INFORMATION
No material or nonsubstantive change to a currently approved collection   No
Emergency 08/24/1989
Approved with change 08/24/1989
Retrieve Notice of Action (NOA) 08/24/1989
  Inventory as of this Action Requested Previously Approved
01/31/1991 01/31/1991 01/31/1991
1,064,500 0 1,064,500
7,155,075 0 685,665
0 0 0

USED BY EMPLOYERS TO CORRECT PREVIOUSLY REPORTED FICA OR INCOME TAX DATA. IT MAY BE USED TO SUPPORT A CREDIT OR ADJUSTMENT CLAIMED ON A CURRENT RETURN FOR AN ERROR IN A PRIOR RETURN PERIOD. THE INFORMATION IS USED TO RECONCILE WAGES AND TAXES PREVIOUSLY REPORTED OR USED TO SUPPORT A CLAIM FOR REFUND CREDIT OR ADJUSTMENT OF FICA OR INCOME TAX.

None
None


No

1
IC Title Form No. Form Name
STATEMENT TO CORRECT INFORMATION 941C, 941C PR

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,064,500 1,064,500 0 0 0 0
Annual Time Burden (Hours) 7,155,075 685,665 0 0 6,469,410 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/24/1989


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