Information Collection

Form 941-V - Payment voucher (Preprinted) and (OTC)

IC 187189 under ICR 200811-1545-008 · OMB 1545-0029.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0029 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 941-V Form 941-V - Payment voucher (Preprinted) and (OTC)	Form and Instruction
941-V Payment Voucher Form 941-V.pdf	Form and Instruction
brdn_busi 941-V preprinted.PDF Burden for 941-V (preprinted)	IC Document
brdn_busi for 941-V OTC.PDF Burden for 941-V (OTC)	IC Document

IC Title:

Form 941-V - Payment voucher (Preprinted) and (OTC)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	941-V	Payment Voucher	Form 941-V.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,798,054

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	8,000,000	8,000,000
Annual IC Time Burden (Hours)	3,088,000	3,088,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden for 941-V (preprinted)	brdn_busi 941-V preprinted.PDF	11/12/2008
Burden for 941-V (OTC)	brdn_busi for 941-V OTC.PDF	11/12/2008

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