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 201010-1545-034 · 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⚠️ Notice: This information collection may be referencing outdated material.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
2010 941-SS instructions.pdf	Instruction
2011 Draft Form 941-SS.pdf	Other-2011 Draft
941-SS Employer's QUARTERLY Federal Tax Return: American Samoa, 2010 Form 944-SS.pdf	Form
941-SS brdn_busi 2010.pdf Burden for Form 941-SS	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: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-2011 Draft			2011 Draft Form 941-SS.pdf	Yes	No	Printable Only
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	2010 Form 944-SS.pdf	Yes	Yes	Fillable Fileable
Instruction			2010 941-SS instructions.pdf	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	32,448	32,448
Annual IC Time Burden (Hours)	366,663	366,663
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden for Form 941-SS	941-SS brdn_busi 2010.pdf	10/25/2010

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