Information Collection

Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons

IC 39506 under ICR 201111-1545-021 · OMB 1545-0096.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1042 Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons	Form
2011 Instructions Form 1042.pdf	Instruction
1042 Annual Withholding Tax Return for U.S. Source Income of 2011 Form 1042.pdf	Form
2011 Burden Form 1042.PDF 2011 Burden Form 1042	IC Document

IC Title:

Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1042	Annual Withholding Tax Return for U.S. Source Income of Foreign Persons	2011 Form 1042.pdf		Yes	Yes	Fillable Fileable
Instruction			2011 Instructions Form 1042.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 36,400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	36,400	14,400	22,000
Annual IC Time Burden (Hours)	657,020	259,920	397,100
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2011 Burden Form 1042	2011 Burden Form 1042.PDF	11/15/2011

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