Information Collection
Form 2678 - Employer / Payer Appointment of Agent
IC 17366 under ICR 201409-1545-024 · OMB 1545-0748.
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0748 can be found here:
Documents and Forms
| Document Name | Document Type |
|---|---|
Form 2678 - Employer / Payer Appointment of Agent |
Form and Instruction |
Form 2678.pdf | Form and Instruction |
|
2014 Burden | IC Document |