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Federal forms, ICRs, and supporting documents

Information Collection Request

REQUEST FOR INFORMATION TO DETERMINE IF A WORKER IS AN EMPLOYEE FOR EMPLOYMENT TAX AND INCOME TAX WITHHOLDING PURPOSES.

ICR 198109-1545-172 · OMB 1545-0564 · Historical Active

Forms and Documents
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IC Document Collections
IC IDCollectionTypeStatusForm
130119 REQUEST FOR INFORMATION TO DETERMINE IF A WORKER IS AN EMPLOYEE FOR EMPLOYMENT TAX AND INCOME TAX WITHHOLDING PURPOSES. Form Migrated
ICR Details
1545-0564 198109-1545-172
Historical Active
TREAS/IRS
REQUEST FOR INFORMATION TO DETERMINE IF A WORKER IS AN EMPLOYEE FOR EMPLOYMENT TAX AND INCOME TAX WITHHOLDING PURPOSES.
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/11/1981
Retrieve Notice of Action (NOA) 09/23/1981
  Inventory as of this Action Requested Previously Approved
09/30/1983 09/30/1983
1,500 0 0
713 0 0
0 0 0
THE INFORMATION IS USED TO SUPPLEMENT THE INFORMATION RECEIVED ON FORM SS-8 FOR THE IRS TO DETERMINE WHETHER A WORKER IS AN EMPLOYEE. THE DATA IS USED TO MAKE THIS DETERMINATION AND ASSURE THAT THE EMPLOY IS PAYING THE CORRECT AMOUNT OF EMPLOYMENT TAX AND WITHHOLDING THE CORRECT AMOUNT OF INCOME TAX.
None
None
No
1
IC Title Form No. Form Name
REQUEST FOR INFORMATION TO DETERMINE IF A WORKER IS AN EMPLOYEE FOR EMPLOYMENT TAX AND INCOME TAX WITHHOLDING PURPOSES. A-03, A-04,, A-08
  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 1,500 0 0 0 1,500 0
Annual Time Burden (Hours) 713 0 0 0 713 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/23/1981