Information Collection

Form 941SS -V -(Preprinted)

IC 187193 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⚠️ Notice: This information collection may be referencing outdated material.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 SS / V Form 941SS -V -(Preprinted)	Form and Instruction
941 SS / V Employer’s QUARTERLY Federal Tax Return SS 2017_f941ss.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Form 941SS -V -(Preprinted)

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 SS / V	Employerâs QUARTERLY Federal Tax Return SS	2017_f941ss.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: IRS 22.062 Electronic Filing Records IRS 24.030 Customer Account Data Engine (CADE) Individual Master File IRS 24.046 CADE Business Master File IRS 34.037 IRS Audit Trail and Security

FR Citation: 80 FR 54064

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	10,000	10,000
Annual IC Time Burden (Hours)	2,400	2,400
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.