Information Collection

Form 941-SS - Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands

IC 187186 under ICR 200910-1545-022 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 941-SS Form 941-SS - Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands Form
Instr for Form 941-SS.pdf Instruction
941-SS Employer's Quarterly Federal Tax Return; American Samoa, Form 941-SS.pdf Form
brdn_busi for 941-SS.PDF Burden for Form 941-SS IC Document
brdn_busi for 941SS line 17.PDF Deletion of special burden computation for line 17. IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 941-SS - Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	941-SS	Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands	Form 941-SS.pdf		Yes	Yes	Fillable Fileable
Instruction			Instr for Form 941-SS.pdf		Yes	No	Paper Only

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: 20 %

	Approved	Previously Approved
Annual Number of Responses for this IC	32,448	32,448
Annual IC Time Burden (Hours)	311,501	311,501
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Burden for Form 941-SS	brdn_busi for 941-SS.PDF	11/12/2008
Deletion of special burden computation for line 17.	brdn_busi for 941SS line 17.PDF	11/12/2008

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