Information Collection

TD 9645, Rules relating to additional Medicare tax: Large and small entities

IC 222638 under ICR 202301-1545-021 · OMB 1545-2097.

Documents and Forms

Document Name Document Type
TD 9645.pdf Treasury Decision 9645 IC Document
TD 9645.pdf Treasury Decision 9645 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TD 9645, Rules relating to additional Medicare tax: Large and small entities	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 31.6205-1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 325,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	325,000	325,000
Annual IC Time Burden (Hours)	325,000	325,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Treasury Decision 9645	TD 9645.pdf	01/18/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.