Information Collection

Form 943-X (PR) - Adjuste a la Declaración Federal ANUAL del Patrono de Empleados Agrícolas o Reclamación de Reembolso

IC 187587 under ICR 202103-1545-012 · OMB 1545-0035.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0035 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 943-X(PR) Form 943-X (PR) - Adjuste a la Declaración Federal ANUAL del Patrono de Empleados Agrícolas o Reclamación de Reembolso	Form
Form 943-X(PR) Ajuste a la Declaración Federal Anual del Patrono de Empleados Agrícolas o Reclamación de Reembolso Form 943-X (PR) - Adjuste a la Declaración Federal ANUAL del Patrono de Empleados Agrícolas o Reclamación de Reembolso	Form
i943x(pr).pdf	Instruction
i943x(pr).pdf	Instruction
943-X(PR) Ajuste a la Declaración Federal Anual del Patrono de Emp f943-x(pr) (2021) (DRAFT).pdf	Form
943-X(PR) Ajuste a la Declaración Federal Anual del Patrono de Emp f943-x(pr) (2021) (DRAFT).pdf	Form
2021-943X(PR)-Burden-2021-03-23 15-37-29.pdf 943X(PR)	IC Document
2021-943X(PR)-Burden-2021-03-23 15-37-29.pdf 943X(PR)	IC Document

IC Title:

Form 943-X (PR) - Adjuste a la DeclaraciÃ³n Federal ANUAL del Patrono de Empleados AgrÃcolas o ReclamaciÃ³n de Reembolso

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	943-X(PR)	Ajuste a la DeclaraciÃ³n Federal Anual del Patrono de Empleados AgrÃcolas o ReclamaciÃ³n de Reembolso	f943-x(pr) (2021) (DRAFT).pdf		Yes	No	Fillable Printable
Instruction			i943x(pr).pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,000	0	10,000
Annual IC Time Burden (Hours)	270,300	97,200	173,100
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
943X(PR)	2021-943X(PR)-Burden-2021-03-23 15-37-29.pdf	03/23/2021

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