OMB control number

Employment Tax Adjustments and Rules Relating to Additional Medicare Tax

OMB 1545-2097 · TREAS/IRS.

OMB 1545-2097

This information is required to verify compliance with return requirements under section 6011, employment tax adjustments under section 6205 and 6413, and claims for refund of overpayments of employment taxes under section 6402 and 6414.

The latest form for Employment Tax Adjustments and Rules Relating to Additional Medicare Tax expires 2026-06-30 and is listed under ICR 202301-1545-021.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
1545-2097 SS 2023-02.docx	Supporting Statement A
TD 9645, Rules relating to additional Medicare tax: Large and small entities	Information collection
TD 9645, Rules relating to additional Medicare tax: Individuals and all other respondents	Other-T D 9645 Final
Employment Tax Adjustments	Other-TD 9405 Final

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202301-1545-021	Extension without change of a currently approved collection	2023-02-28	Approved without change
201911-1545-019	Extension without change of a currently approved collection	2019-12-27	Approved without change
201607-1545-006	Extension without change of a currently approved collection	2016-07-29	Approved without change
201312-1545-002	Revision of a currently approved collection	2013-12-05	Approved without change
201109-1545-007	Revision of a currently approved collection	2013-03-21	Preapproved
201012-1545-023	Extension without change of a currently approved collection	2011-03-28	Approved without change
201006-1545-008	Revision of a currently approved collection	2010-06-03	Approved without change
200711-1545-019	New collection (Request for a new OMB Control Number)	2008-03-14	Preapproved

OMB Details

Employment Tax Adjustments

Federal Enterprise Architecture: General Government - Taxation Management