Information Collection

Form 940-PR Worksheet

IC 190951 under ICR 201303-1545-011 · OMB 1545-0028.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0028 can be found here:

Documents and Forms

Document Name Document Type
Worksheet Line 10 F940.pdf Other-Worksheet
Burden for Form 940PR Worksheet.PDF Burden IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 940-PR Worksheet	Agency IC Tracking Number:

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
Other-Worksheet			Worksheet Line 10 F940.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,400	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,400	1,400
Annual IC Time Burden (Hours)	1,652	1,652
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Burden	Burden for Form 940PR Worksheet.PDF	03/15/2013

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