You may omit
printing the expiration date on this form. Also, you may continue
to use previous versions of this form.
Inventory as of this Action
Requested
Previously Approved
05/31/1996
05/31/1996
06/30/1993
550,068
0
392,443
4,416,022
0
4,603,271
0
0
0
AGRICULTURAL EMPLOYERS MUST PREPARE
AND FILE FORM 943 AND FORM 943PR (PUERTO RICO ONLY) TO REPORT AND
PAY FICA TAXES AND (943 ONLY) INCOME TAX VOLUNTARILY WITHHELD.
AGRICULTURAL EMPLOYERS MAY ATTACH FORM 943A AND 943A-PR TO FORMS
943 AND 943PR TO SHOW THEIR TAX LIABILITIES FOR EIGHT-MONTHLY
PERIODS. THE INFORMATION IS USED TO VERIFY THAT THE CORRECT TAX HAS
BEEN PAID.
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.