Information Collection

Certified Professional Employer Organization/Customer Reporting Agreement

IC 225305 under ICR 201612-1545-017 · OMB 1545-2266.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2266 can be found here:

Documents and Forms

Document Name Document Type
Form 8973 Certified Professional Employer Organization/Customer Reporting Agreement Form
8973 Certified Professional Employer Organization/Customer Re f8973 (Draft).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certified Professional Employer Organization/Customer Reporting Agreement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	8973	Certified Professional Employer Organization/Customer Reporting Agreement	f8973 (Draft).pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 240	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	360	360
Annual IC Cost Burden (Dollars)	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.