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  3. OMB 1545-2173

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
Name
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All Historical Document Collections
201703-1545-020
Approved without change
Extension without change of a currently approved collection 2017-04-24
201309-1545-073
Approved without change
Extension without change of a currently approved collection 2014-01-31
201011-1545-015
Approved without change
Extension without change of a currently approved collection 2010-11-30
201004-1545-027
Approved with change
New collection (Request for a new OMB Control Number) 2010-05-13

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