Information Collection

Form 941-SS - Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands

IC 187186 under ICR 202004-1545-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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 (2019 draft) Form 941-SS - Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands	Form
i941-ss--2018-01-00.pdf	Instruction
941 SS Employer’s QUARTERLY Federal Tax Return f941-ss--2018-.pdf	Form
941 (2019 draft) Employer’s QUARTERLY Federal Tax Return f941-ss--2019-draft.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Form 941-SS - Employer's Quarterly Federal Tax Return; American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	941 (2019 draft)	Employerâs QUARTERLY Federal Tax Return	f941-ss--2019-draft.pdf	Yes	No	Fillable Printable
Instruction			i941-ss--2018-01-00.pdf	Yes	No	Printable Only
Form	941 SS	Employerâs QUARTERLY Federal Tax Return	f941-ss--2018-.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: 6,001,043

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	33,584	33,584
Annual IC Time Burden (Hours)	379,500	379,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.