Information Collection

Form 8453-WH, E-file Declaration for Form 1042

IC 257380 under ICR 202212-1545-020 · OMB 1545-0967.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0967 can be found here:

Documents and Forms

Document Name Document Type
Form 8453-WH Form 8453-WH, E-file Declaration for Form 1042 Form and Instruction
8453-WH E-file Declaration for Form 1042 f8453wh--dft.pdf Form and Instruction
8453-WH E-file Declaration for Form 1042 f8453wh--dft.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 8453-WH, E-file Declaration for Form 1042	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 1.6012-5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8453-WH	E-file Declaration for Form 1042	f8453wh--dft.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: Treasury/IRS 22.062; Treasury/IRS 24.046; Treasury/IRS 34.037	FR Citation: 80 FR 54063

Number of Respondents: 51,450	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	Program Change Due to New Statute
Annual Number of Responses for this IC	51,450	51,450
Annual IC Time Burden (Hours)	112,161	112,161
Annual IC Cost Burden (Dollars)	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.