Information Collection

TD 9645, Rules relating to additional Medicare tax: Large and small entities

IC 222638 under ICR 202301-1545-021 · OMB 1545-2097.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
TD 9645.pdf Treasury Decision 9645	IC Document
TD 9645.pdf Treasury Decision 9645	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 31.6205-1

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

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 325,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	325,000	325,000
Annual IC Time Burden (Hours)	325,000	325,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Treasury Decision 9645	TD 9645.pdf	01/18/2023

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