Form 14737-A--Responsible Individual Personal Attestation

Form 14737--Request for Voluntary IRS Certification of a Professional Employer Organization (CPEO); Form 14737-A--Responsible Individual Personal Attestation

OMB: 1545-2266

IC ID: 220963

Information Collection (IC) Details

View Information Collection (IC)

Form 14737-A--Responsible Individual Personal Attestation
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 14737-A Responsible Individual Personal Attestation Form 14737-A (2016-03-00--r1).pdf Yes Yes Fillable Fileable

General Government Taxation Management

 

1,000 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,000 1,000 0 0 0 0
Annual IC Time Burden (Hours) 40,000 40,000 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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