Information Collection

TD 9645, Rules relating to additional Medicare tax: Large and small entities

IC 222638 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⚠️ Notice: This information collection may be referencing outdated material.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
TD_9645_29Nov2013.pdf Treasury Decision 9645 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TD 9645, Rules relating to additional Medicare tax: Large and small entities	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 31.6205-1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 325,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

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

Documents for IC

Title	Document	Date Uploaded
Treasury Decision 9645	TD_9645_29Nov2013.pdf	07/29/2016

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