Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons

Dividend Equivalents from Sources within the United States (REG-120282-10 & 127895-14) & Forms 1042, 1042-S and 1042-T

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 1042 Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons Form
2014 1042 Instructions.pdf Instruction
1042 Annual Withholding Tax Return for U.S. Source Income of 2014 Form 1042.pdf Form
Burden Computation Form 1042.pdf Annual Withholding Tax Return for U.S. Source Income of Foreign Persons IC Document

Information Collection (IC) Details

IC Title:	Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1042	Annual Withholding Tax Return for U.S. Source Income of Foreign Persons	2014 Form 1042.pdf		Yes	Yes	Fillable Fileable
Instruction			2014 1042 Instructions.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 36,400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Previously Approved
Annual Number of Responses for this IC	36,400	36,400
Annual IC Time Burden (Hours)	657,020	657,020
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Annual Withholding Tax Return for U.S. Source Income of Foreign Persons	Burden Computation Form 1042.pdf	08/19/2015

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