Information Collection Request

Certified Professional Employee Organization

ICR 201612-1545-017 · OMB 1545-2266 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 8973 Certified Professional Employer Organization/Customer Reporting Agreement Form New Available
Form 14751 Certified Professional Employer Organization Surety Bond Form New Available
Form 14737-A CPEO Responsible Individual Personal Attestation.pdf Form Modified Available
Form 14737 Request for Voluntary IRS Certification of a Professional Employer Organization Form Modified Available
Rev Proc 2017-14 - Maintaing Cert as a CPEO.pdf Supplementary Document Uploaded 2017-01-19 Available
f8973 (Draft).pdf Supplementary Document Uploaded 2017-01-19 Available
f14751--2016-07-00--r6.pdf Supplementary Document Uploaded 2017-01-19 Available
Form 14029 hour justification #2.docx Supplementary Document Uploaded 2016-12-12 Available
Notice 2016-49.pdf Supplementary Document Uploaded 2016-12-07 Available
Rev Proc 2016-33.pdf Supplementary Document Uploaded 2016-12-07 Available
2017 CPEO Supporting Statement final_1.docx Supporting Statement A Uploaded 2017-01-24 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
225305 Certified Professional Employer Organization/Customer Reporting Agreement Form NewCertified Professional Employer Organization/Customer Reporting Agreement
225304 Certified Professional Employer Organization Surety Bond Form NewCertified Professional Employer Organization Surety Bond
220963 Responsible Individual Personal Attestation Form ModifiedCPEO Responsible Individual Personal Attestation.pdf
220962 Request for Voluntary IRS Certification of a Professional Employer Organization (CPEO); Form ModifiedRequest for Voluntary IRS Certification of a Professional Employer Organization

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2017 6 Months From Approved
1,725 0 0
90,830 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Certified Professional Employer Organization Surety Bond 14751
Certified Professional Employer Organization/Customer Reporting Agreement 8973
Request for Voluntary IRS Certification of a Professional Employer Organization (CPEO); 14737
Responsible Individual Personal Attestation 14737-A

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 1,725 0 0 475 0 1,250
Annual Time Burden (Hours) 90,830 0 0 830 0 90,000
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No