Information Collection Request

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

ICR 201611-1545-033 · OMB 1545-2266 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Justification of non-material change.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-11-21 Available
CPEO Supporting Statement (2016).docx Supporting Statement A Uploaded 2016-04-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
220963 Responsible Individual Personal Attestation Other-null Modified
220962 Request for Voluntary IRS Certification of a Professional Employer Organization (CPEO); Other-null Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2016 12/31/2016 12/31/2016
1,250 0 1,250
90,000 0 90,000
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Request for Voluntary IRS Certification of a Professional Employer Organization (CPEO);
Responsible Individual Personal Attestation

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,250 1,250 0 0 0 0
Annual Time Burden (Hours) 90,000 90,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No