Information Collection

Uncollected Social Security and Medicare Tax on Wages

IC 179556 under ICR 200704-1545-054 · OMB 1545-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8919 Uncollected Social Security and Medicare Tax on Wages	Form and Instruction
8919 Uncollected Social Security and Medicare Tax on Wages Form 8919 & instru..pdf	Form and Instruction

IC Title:

Uncollected Social Security and Medicare Tax on Wages

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 6103

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 and Instruction	8919	Uncollected Social Security and Medicare Tax on Wages	Form 8919 & instru..pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 370,000

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	Previously Approved
Annual Number of Responses for this IC	370,000	370,000
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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