Form 13930

Form 13930, Central Withholding Agreement.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2102 can be found here:

Documents and Forms

Document Name Document Type
Form 13930 Form 13930 Form and Instruction
13930 Central Withholding Agreement New Application final.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Form 13930	Agency IC Tracking Number:	ah-XXXX-008

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	13930	Central Withholding Agreement	New Application final.doc		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.