Information Collection

Form 1040-SS, U.S. Self-Employment Tax Return; Form 1040-PR, Planilla Para La Declaracion De La Contribucion Federal Sobre El Trabajo Por Cuenta Propia-Puerto Rico; and Anejo H-PR,

IC 16891 under ICR 200709-1545-003 · OMB 1545-0090.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0090 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1040-SS Form 1040-SS, U.S. Self-Employment Tax Return; Form 1040-PR, Planilla Para La Declaracion De La Contribucion Federal Sobre El Trabajo Por Cuenta Propia-Puerto Rico; and Anejo H-PR,	Form
1040-SSinst.pdf	Instruction
1040-SS U.S Self-Employment TAx Return (Including the Additional 1040-SS.pdf	Form
Anex H-PR (Forma 1 Contribuciones Sobre El Empleo De Empleados Domesticos ANEXO H-PR.pdf	Form
1040-PR Planilla para la Ceclaracion de la Contribucion Federal 1040-PR.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Form 1040-SS, U.S. Self-Employment Tax Return; Form 1040-PR, Planilla Para La Declaracion De La Contribucion Federal Sobre El Trabajo Por Cuenta Propia-Puerto Rico; and Anejo H-PR,

Agency IC Tracking Number:

ah-0090-003

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1040-SS	U.S Self-Employment TAx Return (Including the Additional Child Tax Credit for Bona Fide Residents of Puerto Rico)	1040-SS.pdf	Yes	No	Fillable Printable
Instruction			1040-SSinst.pdf	Yes	No	Paper Only
Form	Anex H-PR (Forma 1040-PR)	Contribuciones Sobre El Empleo De Empleados Domesticos	ANEXO H-PR.pdf	Yes	No	Fillable Printable
Form	1040-PR	Planilla para la Ceclaracion de la Contribucion Federal sobre el Trabajo por Cuenta Propia (Incluyendo el Credito Tributario Sdicional por Hijos para Residentes Bona fide de Puerto Rico)	1040-PR.pdf	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 244,400

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	430,400	0	430,400
Annual IC Time Burden (Hours)	2,761,668	-920	2,762,588
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.