Information Collection Request

Certified Professional Employer Organization (CPEO) Forms: 14737,14737-A,14751, 8973 and TD 9860

ICR 202101-1545-010 · OMB 1545-2266 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 8973 Certified Professional Employer Organization/Customer Reporting Agreement Form Modified Repair queued
Form 14751 Certified Professional Employer Organization Surety Bond Form Modified Repair queued
Form 14737-A Responsible Individual Personal Attestation Form Modified Repair queued
Form 14737 Request for Voluntary IRS Certification of a Professional Employer Organization (CPEO); Form Modified Repair queued
SS 1545-2266 (2021).docx Supporting Statement A Uploaded 2021-03-25 Repair queued
Rev Proc 2017-14 - Maintaing Cert as a CPEO.pdf Supplementary Document Uploaded 2017-01-19 Repair queued
Notice 2016-49.pdf Supplementary Document Uploaded 2016-12-07 Repair queued
Rev Proc 2016-33.pdf Supplementary Document Uploaded 2016-12-07 Repair queued

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 03/31/2021
42,205 1,725
91,065 90,830
0 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 42,205 1,725 0 0 40,480 0
Annual Time Burden (Hours) 91,065 90,830 0 0 235 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No