Information Collection

Employer's Monthly Federal Tax Return

IC 17331 under ICR 201005-1545-072 · OMB 1545-0718.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 941-M Employer's Monthly Federal Tax Return	Form
2010 941-M instructions.pdf	Instruction
941-M Employer's Monthly Federal Tax Return 2010 Form 941-M.pdf	Form
2010 Form 941-M brdn_busi.pdf 2010 Burden estimates	IC Document

IC Title:

Agency IC Tracking Number:

ah-0718-010

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	941-M	Employer's Monthly Federal Tax Return	2010 Form 941-M.pdf		Yes	No	Printable Only
Instruction			2010 941-M instructions.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

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 New Statute	Previously Approved
Annual Number of Responses for this IC	12,000	0	12,000
Annual IC Time Burden (Hours)	191,520	25,200	166,320
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2010 Burden estimates	2010 Form 941-M brdn_busi.pdf	05/20/2010

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