Employment Tax Adjustments

Employment Tax Adjustments and Rules Relating to Additional Medicare Tax

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2097 can be found here:

Documents and Forms

Document Name Document Type
T__D__9405.DOC Other-TD 9405 Final

Information Collection (IC) Details

IC Title:	Employment Tax Adjustments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 31.6205-1 26 CFR 31.6413(a)-1 26 CFR 31.6413(a)-2

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-TD 9405 Final			T__D__9405.DOC		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,500,000	1,500,000
Annual IC Time Burden (Hours)	15,000,000	15,000,000
Annual IC Cost Burden (Dollars)	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.