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Federal forms, ICRs, and supporting documents

Information Collection Request

Form 13930 - Central Withholding Agreement; Form 13920 - Directed Withholding and Deposit Verification Form

ICR 201301-1545-005 · OMB 1545-2102 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 13920 Form 13920 Form and Instruction New Repair queued
Form 13930 Form 13930 Form and Instruction Modified Available
Supporting Statement.doc Supporting Statement A Uploaded 2013-03-01 Available
IC Document Collections
IC IDCollectionTypeStatusForm
205283 Form 13920 Form and Instruction New
183294 Form 13930 Form and Instruction Modified
ICR Details
1545-2102 201301-1545-005
Historical Active 201012-1545-044
TREAS/IRS
Form 13930 - Central Withholding Agreement; Form 13920 - Directed Withholding and Deposit Verification Form
Revision of a currently approved collection   No
Regular
Approved without change 07/18/2013
Retrieve Notice of Action (NOA) 03/25/2013
  Inventory as of this Action Requested Previously Approved
07/31/2016 36 Months From Approved 08/31/2014
10,400 0 2,300
11,900 0 9,200
0 0 0
Form 13930 will be used by an individual who wishes to have a Central Withholding Agreement (CWA). This form instructs him regarding how to make his application for consideration. IRS Section 1441(a) requires withholding on certain payments of Non Resident Aliens (NRAs). Section 1.1441-4(b)(3) of the Income Tax Regulations provides that the withholding can be considered for adjustment if a CWA is applied for and granted. Form 13920 is used by withholding agents to verify to IRS that required deposits were made and give the amount of such deposits.
US Code: 26 USC 1441 Name of Law: Withholding of tax on nonresident aliens.
  
None
Not associated with rulemaking
  78 FR 2722 01/14/2013
78 FR 17764 03/22/2013
No
2
IC Title Form No. Form Name
Form 13920 13920 Directed Withholding and Deposit Verification
Form 13930 13930 Central Withholding Agreement
  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 10,400 2,300 0 8,100 0 0
Annual Time Burden (Hours) 11,900 9,200 0 2,700 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Form 13930 will be used by an individual who wishes to have a Central Withholding Agreement (CWA). Form 13920 is used by withholding agents to verify to IRS that required deposits were made and give the amount of such deposits. We are seeking OMB approval to add Form 13920 under this approval number. The addition of Form 13920 under the current approval number will result in an estimated burden increase of 2,700 hours and 8,100 responses per year.
$0
No
No
No
No
No
Uncollected
Casey Kamiyama 707 646-7292
  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.
03/25/2013