Information Collection Request

Application for Central Withholding Agreement; Directed Withholding and Deposit Verification; Application for Central Withholding Agreement Less than $10,000

ICR 202306-1545-005 · OMB 1545-2102 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 13930-A Application for Central Withholding Agreement Less than $10,000 Form and Instruction Removed Available
Form 13930-A Form 13930-A Form and Instruction Removed Repair queued
Form 13920 Directed Withholding and Deposit Verification Form and Instruction Unchanged Repair queued
Form 13920 Form 13920 Form and Instruction Unchanged Repair queued
Form 13930 Application for Central Withholding Agreement Form and Instruction Modified Available
Form 13930 Form 13930 Form and Instruction Modified Repair queued
2023 Supporting Statement (1545-2102)-LVD.docx Supporting Statement A Uploaded 2023-08-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
236098 Form 13930-A Form and Instruction RemovedApplication for Central Withholding Agreement Less than $10,000
236098 Form 13930-A Form and Instruction Removed
205283 Form 13920 Form and Instruction UnchangedDirected Withholding and Deposit Verification
205283 Form 13920 Form and Instruction Unchanged
183294 Form 13930 Form and Instruction ModifiedApplication for Central Withholding Agreement
183294 Form 13930 Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2026 36 Months From Approved 12/31/2023
11,100 0 12,100
38,700 0 49,200
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Form 13920 13920
Form 13930 13930
Form 13930-A 13930-A

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 11,100 12,100 0 0 -1,000 0
Annual Time Burden (Hours) 38,700 49,200 0 0 -10,500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No