Foreign Person's U.S. Source Income Subject to Withholding

Dividend Equivalents from Sources within the United States REG-120282-10 ( TD 9734) & Forms 1042, 1042-S and 1042-T

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0096 can be found here:

Documents and Forms

Document Name Document Type
i1042-s--2019-00-00.pdf Instruction
1042-S Foreign Person's U.S. Source Income Subject to Withholdi f1042-s--2019-00-00.pdf Form

Information Collection (IC) Details

IC Title:	Foreign Person's U.S. Source Income Subject to Withholding	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1042-S	Foreign Person's U.S. Source Income Subject to Withholding	f1042-s--2019-00-00.pdf		Yes	Yes	Fillable Fileable
Instruction			i1042-s--2019-00-00.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 2.017-International Enforcement Program File	FR Citation: 83 FR 42980

Number of Respondents: 22,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	3,531,300	6,000	3,525,300
Annual IC Time Burden (Hours)	2,048,154	3,480	2,044,674
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.