Form 941-Ss - Employer'S Quarterly Federal Tax Return - American Samoa, Guam, The Commonwealth Of The Northern Mariana Islands, And The U.s. Virgin Islands - 2017 Page 4

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Form 941-SS (Rev. 1-2017)
Privacy Act and Paperwork Reduction Act Notice.
Justice for civil and criminal litigation, and to cities,
We ask for the information on Form 941-SS to carry out
states, the District of Columbia, and U.S. commonwealths
the Internal Revenue laws of the United States. We
and possessions for use in administering their tax laws.
need it to figure and collect the right amount of tax.
We may also disclose this information to other countries
Subtitle C, Employment Taxes, of the Internal Revenue
under a tax treaty, to federal and state agencies to
Code imposes employment taxes on wages and provides
enforce federal nontax criminal laws, or to federal law
for income tax withholding. Form 941-SS is used to
enforcement and intelligence agencies to combat
determine the amount of the taxes that you owe. Section
terrorism.
6011 requires you to provide the requested information if
The time needed to complete and file Form 941-SS
the tax is applicable to you. Section 6109 requires you to
will vary depending on individual circumstances. The
provide your identification number. If you fail to provide
estimated average time is:
this information in a timely manner or provide false or
Recordkeeping . . . . . . . . . . 10 hr., 31 min.
fraudulent information, you may be subject to penalties.
Learning about the law or the form . . . .
47 min.
You’re not required to provide the information
requested on a form that is subject to the Paperwork
Preparing, copying, assembling, and
Reduction Act unless the form displays a valid OMB
sending the form to the IRS . . . . . . . .
1 hr.
control number. Books and records relating to a form or
If you have comments concerning the accuracy of
instructions must be retained as long as their
these time estimates or suggestions for making Form
contents may become material in the administration of
941-SS simpler, we would be happy to hear from you.
any Internal Revenue law.
You can send us comments from
Generally, tax returns and return information are
formcomment. Or you can send your comments to
confidential, as required by section 6103. However,
Internal Revenue Service, Tax Forms and Publications
section 6103 allows or requires the IRS to disclose or
Division, 1111 Constitution Ave. NW, IR-6526,
give the information shown on your tax return to others
Washington, DC 20224. Don’t send Form 941-SS to this
as described in the Code. For example, we may
address. Instead, see Where Should You File? in the
disclose your tax information to the Department of
Instructions for Form 941-SS.

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