Information Collection

Form 1041-V - Payment Voucher

IC 195271 under ICR 201803-1545-002 · OMB 1545-0092.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0092 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1041-V Form 1041-V - Payment Voucher	Form and Instruction
1041-V Payment Voucher Form 1041-V 2016.pdf	Form and Instruction

IC Title:

Form 1041-V - Payment Voucher

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

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	1041-V	Payment Voucher	Form 1041-V 2016.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 820,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	820,000	820,000
Annual IC Time Burden (Hours)	590,400	590,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.