Information Collection

Supporting Statement to Correct Information (Form 941c); Planilla Para La Correccion de Informacion (Form 941cPR)

IC 17199 under ICR 200805-1545-005 · OMB 1545-0256.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 941C Supporting Statement to Correct Information (Form 941c); Planilla Para La Correccion de Informacion (Form 941cPR)	Form and Instruction
941C Supporting Statement To Correct Information F941C_OMB_102006.pdf	Form and Instruction
941CPR Planilla Para La Correccion De Informacion Pacilitada An F941C-PR_OMB_102006.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	941C	Supporting Statement To Correct Information	F941C_OMB_102006.pdf		No		Fillable Printable
Form and Instruction	941CPR	Planilla Para La Correccion De Informacion Pacilitada Anteriormente en Cumplimiento Con La Ley Del Seguro Social Y Del Seguro Medicare	F941C-PR_OMB_102006.pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 958,050

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	958,050	0	958,050
Annual IC Time Burden (Hours)	9,442,616	713,309	8,729,307
Annual IC Cost Burden (Dollars)	0	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.