Information Collection

Form 941-V (PR) - Payment voucher (OTC)

IC 187190 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⚠️ Notice: This information collection may be referencing outdated material.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 PR V Form 941-V (PR) - Payment voucher (OTC)	Form and Instruction
941 PR V Comprobante de Pago 2017_f941pr_V_OTC.pdf	Form and Instruction
Burden_2017-F941_PR_V-OTC.pdf Burden 941 PR V OTC	IC Document

IC Title:

Form 941-V (PR) - Payment voucher (OTC)

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 PR V	Comprobante de Pago	2017_f941pr_V_OTC.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	2,000	2,000
Annual IC Time Burden (Hours)	1,940	1,940
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden 941 PR V OTC	Burden_2017-F941_PR_V-OTC.pdf	06/09/2017

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