Information Collection

FMS/EFTPS 1040-ES Quarterly Payers Survey

IC 206579 under ICR 201108-1510-003 · OMB 1510-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1510-0074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EFTPS 1040-Quarterly Payers Screener 022713.docx	Instruction
EFTPS 1040-Quarterly Payers Interview Guide-022713.docx	Instruction
EFTPS 1040-ES Supporting Statement-022513-2.doc Supporting Statement	IC Document

IC Title:

FMS/EFTPS 1040-ES Quarterly Payers Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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
Instruction			EFTPS 1040-Quarterly Payers Screener 022713.docx		No		Paper Only
Instruction			EFTPS 1040-Quarterly Payers Interview Guide-022713.docx		No		Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	EFTPS 1040-ES Supporting Statement-022513-2.doc	04/30/2013

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