Information Collection

Annual Summary and Transmittal of Forms 1042-S

IC 185426 under ICR 201411-1545-013 · OMB 1545-0096.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0096 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1042-T Annual Summary and Transmittal of Forms 1042-S	Form and Instruction
1042-T Annual Summary and Transmittal of Forms 1042-S 2014 Form 1042-T.pdf	Form and Instruction
Form 1042-T brdn_spec.PDF Burden Form 1042-T	IC Document

IC Title:

Annual Summary and Transmittal of Forms 1042-S

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	1042-T	Annual Summary and Transmittal of Forms 1042-S	2014 Form 1042-T.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	19,500	19,500
Annual IC Time Burden (Hours)	3,900	3,900
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden Form 1042-T	Form 1042-T brdn_spec.PDF	11/10/2014

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