Foreign Person's U.S. Source Income Subject to Withholding

Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons; Form 1042-S, Foreign Person's U.S. Source Income Subject to Withholding, Form 1042-T, Annual Summary and

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0096 can be found here:

Documents and Forms

Document Name Document Type
Form 1042-S Foreign Person's U.S. Source Income Subject to Withholding Form
2012 Instructions Form 1042-S.pdf Instruction
1042-S Foreign Persons U.S. Source Income Subject to Withholdin 2012 Form 1042-S.pdf Form
2011 Burden Form 1042-S.PDF 2011 Burden Form 1042-S IC Document

Information Collection (IC) Details

IC Title:	Foreign Person's U.S. Source Income Subject to Withholding	Agency IC Tracking Number:	jg-0096-021

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1042-S	Foreign Persons U.S. Source Income Subject to Withholding	2012 Form 1042-S.pdf		Yes	Yes	Fillable Fileable
Instruction			2012 Instructions Form 1042-S.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,525,300	1,925,300	1,600,000
Annual IC Time Burden (Hours)	2,044,674	1,116,674	928,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
2011 Burden Form 1042-S	2011 Burden Form 1042-S.PDF	11/15/2011

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