Form 4029

Application for Exemption from Social Security and Medicare Taxes and Waiver of Benefits (Form 4029)

OMB: 1545-0064

IC ID: 16837

Information Collection (IC) Details

View Information Collection (IC)

Form 4029
 
No Modified
 
Required to Obtain or Retain Benefits
 
26 CFR 1.1402(h)-1 26 CFR 31.6053-1

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 4029 Application for Exemption from Social Security and Medicare Taxes and Waiver of Benefits Form 4029--2018-11-00.pdf Yes No Fillable Printable

General Government Taxation Management

 

3,754 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,754 0 0 0 0 3,754
Annual IC Time Burden (Hours) 3,792 0 0 0 0 3,792
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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