Information Collection

Form 943-X (PR)

IC 187587 under ICR 200812-1545-021 · OMB 1545-0035.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0035 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Projected Form 943-X (PR).pdf	Other-Draft form

IC Title:

Form 943-X (PR)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-Draft form			Projected Form 943-X (PR).pdf		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Farms, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	171,100	171,100
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.