Information Collection

Form 941-SS - Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands

IC 187186 under ICR 201310-1545-001 · OMB 1545-0029.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0029 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 941-SS Form 941-SS - Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands	Form
2013_INST_Form_941-SS.pdf	Instruction
DRAFT_Form_941-SS_JAN2014.pdf	Other-DRAFT 2014 Form 941-SS
DRAFT_INST_Form_941-SS_JAN2014.pdf	Other-DRAFT 2014 INST Form 941-SS
941-SS Employer's QUARTERLY Federal Tax Return: American Samoa, 2013_Form_941-SS.pdf	Form
Form 941-SS brdn_busi.PDF Burden for Form 941-SS	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Form 941-SS - Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands

Agency IC Tracking Number:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	941-SS	Employer's QUARTERLY Federal Tax Return: American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands	2013_Form_941-SS.pdf	Yes	Yes	Fillable Fileable
Instruction			2013_INST_Form_941-SS.pdf	Yes	No	Printable Only
Other-DRAFT 2014 Form 941-SS			DRAFT_Form_941-SS_JAN2014.pdf	Yes	Yes	Fillable Fileable
Other-DRAFT 2014 INST Form 941-SS			DRAFT_INST_Form_941-SS_JAN2014.pdf	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,798,054

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	32,448	32,448
Annual IC Time Burden (Hours)	366,663	366,663
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden for Form 941-SS	Form 941-SS brdn_busi.PDF	11/19/2013

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