Information Collection

Employer / Payer Appointment of Agent

IC 17366 under ICR 201103-1545-016 · OMB 1545-0748.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0748 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2678 Employer / Payer Appointment of Agent	Form and Instruction
2678 Employer/Payer Appointment of Agent Form 2678.pdf	Form and Instruction
Initial burden to bring form into ADL methodology.pdf 2011 Burden	IC Document
2011 Burden to account for increase in estimated number of responses.pdf 2011 Burden	IC Document
Final 2011 Burden w changes made to the form .pdf 2011 Burden	IC Document

IC Title:

Employer / Payer Appointment of Agent

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 31.3504-1(b)

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	2678	Employer/Payer Appointment of Agent	Form 2678.pdf		No		Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,130,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,130,000	6,034,800	0	95,200
Annual IC Time Burden (Hours)	13,731,200	13,647,424	36,176	47,600
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2011 Burden	Initial burden to bring form into ADL methodology.pdf	03/30/2011
2011 Burden	2011 Burden to account for increase in estimated number of responses.pdf	03/30/2011
2011 Burden	Final 2011 Burden w changes made to the form .pdf	03/30/2011

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