Employment Tax Adjustments and Rules Relating to Additional Medicare Tax

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 2023-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
1545-2097 SS 2023-02.docx Supporting Statement A
TD 9645, Rules relating to additional Medicare tax: Large and small entities
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All Historical Document Collections

OMB Details

Employment Tax Adjustments

Federal Enterprise Architecture: General Government - Taxation Management

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