STATEMENT TO CORRECT INFORMATION PLANILLA PARA LA CORRECION DE INFORMACION

ICR 199101-1545-002

OMB: 1545-0256

Federal Form Document

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Name
Status
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ICR Details
1545-0256 199101-1545-002
Historical Active 199009-1545-013
TREAS/IRS
STATEMENT TO CORRECT INFORMATION PLANILLA PARA LA CORRECION DE INFORMACION
Revision of a currently approved collection   No
Regular
Approved without change 02/20/1991
Retrieve Notice of Action (NOA) 01/18/1991
  Inventory as of this Action Requested Previously Approved
02/28/1994 02/28/1994 12/31/1993
958,050 0 958,050
8,528,697 0 7,138,944
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 PLANILLA PARA LA CORRECION DE INFORMACION 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 958,050 958,050 0 0 0 0
Annual Time Burden (Hours) 8,528,697 7,138,944 0 1,389,753 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
01/18/1991


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