Information Collection

Form 941-V - Payment voucher

IC 187189 under ICR 201704-1545-037 · OMB 1545-0029.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0029 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 941 V Form 941-V - Payment voucher	Form and Instruction
941 V Payment Voucher f941_V_withInstuction.pdf	Form and Instruction
2017-941V_OTC_Burden.pdf Burden_941_V_OTC	IC Document
2017-941V_PrePaid_Burden.pdf Burden_941_V_Preprinted	IC Document

IC Title:

Form 941-V - Payment voucher

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	941 V	Payment Voucher	f941_V_withInstuction.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,798,054

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	8,000,000	8,000,000
Annual IC Time Burden (Hours)	3,088,000	3,088,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden_941_V_OTC	2017-941V_OTC_Burden.pdf	06/09/2017
Burden_941_V_Preprinted	2017-941V_PrePaid_Burden.pdf	06/09/2017

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