OMB control number
Hiring Incentives to Restore Employment (HIRE) Act Employee Affidavit
OMB 1545-2173 · TREAS/IRS.
OMB 1545-2173
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form W-11 Form W-11 - Hiring Incentives to Restore Employment (HIRE) Act Employee Affidavit | Form and Instruction |
 2017-04-11 SS 1545-2173r.docx | Supporting Statement A |
 Form W-11 - Hiring Incentives to Restore Employment (HIRE) Act Employee Affidavit |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201703-1545-020 | Extension without change of a currently approved collection | 2017-04-24 | Approved without change | |
| 201309-1545-073 | Extension without change of a currently approved collection | 2014-01-31 | Approved without change | |
| 201011-1545-015 | Extension without change of a currently approved collection | 2010-11-30 | Approved without change | |
| 201004-1545-027 | New collection (Request for a new OMB Control Number) | 2010-05-13 | Approved with change |