Certified Professional Employer Organization/Customer Reporting Agreement

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

⚠️ Notice: This information collection may be referencing outdated material.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 8973 Certified Professional Employer Organization/Customer Reporting Agreement Form
8973 Certified Professional Employer Organization/Customer Re f8973--2018-12-00.pdf Form
8973 Certified Professional Employer Organization/Customer Re f8973--2018-12-00.pdf Form
Instructions to Fo Instructions to Form 8973 i8973--2018-12-00.pdf Form and Instruction
Instructions to Fo Instructions to Form 8973 i8973--2018-12-00.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Certified Professional Employer Organization/Customer Reporting Agreement	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	8973	Certified Professional Employer Organization/Customer Reporting Agreement	f8973--2018-12-00.pdf		Yes	No	Fillable Printable
Form and Instruction	Instructions to Form 8973	Instructions to Form 8973	i8973--2018-12-00.pdf		Yes	No	Printable Only

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: 41,350	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	41,350	41,110	240
Annual IC Time Burden (Hours)	62,025	61,665	360
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.