Information Collection

Form 1041-V - Payment Voucher

IC 195271 under ICR 201011-1545-014 · OMB 1545-0092.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0092 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1041-V Form 1041-V - Payment Voucher	Form and Instruction
1041-V Payment Voucher Draft 10f1041-V.pdf	Form and Instruction
Burden.pdf 2010 Burden	IC Document

IC Title:

Form 1041-V - Payment Voucher

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	1041-V	Payment Voucher	Draft 10f1041-V.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000,000

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 Agency Discretion
Annual Number of Responses for this IC	1,000,000	1,000,000
Annual IC Time Burden (Hours)	730,000	730,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2010 Burden	Burden.pdf	11/15/2010

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