Information Collection

New Hire Employer - Electronic

IC 179588 under ICR 201405-0970-005 · OMB 0970-0166.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0166 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 New Hire Employer - Electronic	Form and Instruction
1 lay out W4 record layouts_vfinal 2013.doc	Form and Instruction

IC Title:

New Hire Employer - Electronic

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 303.11

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	1	lay out	W4 record layouts_vfinal 2013.doc		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: Location and Collection System

FR Citation: 70 FR 21200

Number of Respondents: 635,162

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	48,526,377	48,526,377
Annual IC Time Burden (Hours)	13,587	13,587
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.