Form 13920

Form 13930 - Central Withholding Agreement; Form 13920 - Directed Withholding and Deposit Verification Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2102 can be found here:

Documents and Forms

Document Name Document Type
Form 13920 Form 13920 Form and Instruction
13920 Directed Withholding and Deposit Verification Form_13920_DRAFT.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Form 13920	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 and Instruction	13920	Directed Withholding and Deposit Verification	Form_13920_DRAFT.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,100	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,100	8,100
Annual IC Time Burden (Hours)	2,700	2,700
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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