Information Collection

Form 941SS -V - Payment Voucher (OTC)

IC 187195 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⚠️ Notice: This information collection may be referencing outdated material.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-V (SS) Form 941SS -V - Payment Voucher (OTC)	Form and Instruction
DRAFT 2014_Form_941-V(SS).pdf	Other-DRAFT 2014 Form 941-V (SS)
941-V (SS) Payment Voucher 2013_Form_941-V(SS).pdf	Form and Instruction
Form 941-V (SS)-OTC brdn_busi.PDF Burden for 941SS-V (OTC)	IC Document

IC Title:

Form 941SS -V - Payment Voucher (OTC)

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	941-V (SS)	Payment Voucher	2013_Form_941-V(SS).pdf		Yes	Yes	Fillable Fileable
Other-DRAFT 2014 Form 941-V (SS)			DRAFT 2014_Form_941-V(SS).pdf		Yes	Yes	Fillable Fileable

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: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	30,000	30,000
Annual IC Time Burden (Hours)	29,100	29,100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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

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