Information Collection

TD 9645, Rules relating to additional Medicare tax: Individuals and all other respondents

IC 199155 under ICR 201607-1545-006 · OMB 1545-2097.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2097 can be found here:

Documents and Forms

Document Name Document Type
T_D_9645.doc Other-T D 9645 Final

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TD 9645, Rules relating to additional Medicare tax: Individuals and all other respondents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 31.6205-1 26 CFR 31.6402(a)-2 26 CFR 31.6413(a)-1 26 CFR 31.6413(a)-2 26 CFR 31.6011(a)1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-T D 9645 Final			T_D_9645.doc		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,575,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,575,000	-325,000	1,900,000
Annual IC Time Burden (Hours)	1,575,000	-325,000	1,900,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.