Information Collection

Form 944-X - Adjusted Employer's ANNUAL Federal Tax Return or Claim for Refund

IC 187537 under ICR 202103-1545-007 · OMB 1545-2007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2007 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 944-X Form 944-X - Adjusted Employer's ANNUAL Federal Tax Return or Claim for Refund	Form
i944-X. 2021 (Draft).pdf	Instruction
i944-X. 2021 (Draft).pdf	Instruction
944-X Adjusted Employer’s ANNUAL Federal Tax Return or Claim f f944-x--2021-02-00 (Draft).pdf	Form
944-X Adjusted Employer’s ANNUAL Federal Tax Return or Claim f f944-x--2021-02-00 (Draft).pdf	Form
2021-944-X-Burden-2021-03-15 14-25-53.pdf 2021 Burden	IC Document
2021-944-X-Burden-2021-03-15 14-25-53.pdf 2021 Burden	IC Document

IC Title:

Form 944-X - Adjusted Employer's ANNUAL Federal Tax Return or Claim for Refund

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	944-X	Adjusted Employerâs ANNUAL Federal Tax Return or Claim for Refund	f944-x--2021-02-00 (Draft).pdf		Yes	Yes	Fillable Fileable
Instruction			i944-X. 2021 (Draft).pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 784

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	784	0	784
Annual IC Time Burden (Hours)	24,460	8,380	16,080
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2021 Burden	2021-944-X-Burden-2021-03-15 14-25-53.pdf	03/15/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.