Form 13930

Application for Central Withholding Agreement; Directed Withholding and Deposit Verification; Application for Central Withholding Agreement Less than $10,000

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2102 can be found here:

Documents and Forms

Document Name Document Type
Form 13930 Form 13930 Form and Instruction
13930 Application for Central Withholding Agreement f13930--2018-06-00.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Form 13930	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 26 CFR 1.1441-4(b)(3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	13930	Application for Central Withholding Agreement	f13930--2018-06-00.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 24.030 Individual Master File	FR Citation: 83 FR 42980

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,000	700	2,300
Annual IC Time Burden (Hours)	36,000	26,800	9,200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.