Information Collection

Request for Voluntary IRS Certification of a Professional Employer Organization (CPEO);

IC 220962 under ICR 202101-1545-010 · OMB 1545-2266.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2266 can be found here:

Documents and Forms

Document Name Document Type
Form 14737 Request for Voluntary IRS Certification of a Professional Employer Organization (CPEO); Form
14737 Request for Voluntary IRS Certification of a Professiona Request for Voluntary IRS Certification of a Professional Employer Organization (Application).pdf Form
14737 Request for Voluntary IRS Certification of a Professiona Request for Voluntary IRS Certification of a Professional Employer Organization (Application).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Voluntary IRS Certification of a Professional Employer Organization (CPEO);	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	14737	Request for Voluntary IRS Certification of a Professional Employer Organization	Request for Voluntary IRS Certification of a Professional Employer Organization (Application).pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: Certified Professional Employer Organization and 501(c)(4) Registration, CPEO & 501 (c)(4), and a Privacy Act System of Records notice (SORN) has been issued for this system under IRS PCLIA ID Number	FR Citation: 81 FR 44924

Number of Respondents: 120	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	120	-130	250
Annual IC Time Burden (Hours)	17,400	-32,600	50,000
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.