Information Collection

Form 941-X - Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund

IC 187187 under ICR 201810-1545-026 · 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⚠️ Notice: This information collection may be referencing outdated material.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-X Form 941-X - Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund	Form
i941x.pdf	Instruction
941-X Adjusted Employer's QUARTERLY Federal Tax Return or Clai f941x.pdf	Form

IC Title:

Form 941-X - Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund

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	941-X	Adjusted Employer's QUARTERLY Federal Tax Return or Claim for Refund	f941x.pdf		Yes	Yes	Fillable Fileable
Instruction			i941x.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: IRS 24.046-Customer Account Data Engine Business Master File

FR Citation: 80 FR 54064

Number of Respondents: 100,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	100,000	100,000
Annual IC Time Burden (Hours)	1,950,000	1,950,000
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.