Responsible Individual Personal Attestation

Certified Professional Employee Organization

OMB: 1545-2266

IC ID: 220963

Information Collection (IC) Details

View Information Collection (IC)

Responsible Individual Personal Attestation
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 14737-A CPEO Responsible Individual Personal Attestation.pdf CPEO Responsible Individual Personal Attestation.pdf Yes Yes Fillable Fileable

General Government Taxation Management

Certified Professional Employer Organization and 501(c)(4) Registration, CPEO & 501 (c)(4), and a Privacy Act System of Records notice (SORN) has been issued for this system under IRS PCLIA ID Number   81 FR 44924

1,000 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,000 0 0 0 0 1,000
Annual IC Time Burden (Hours) 40,000 0 0 0 0 40,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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