FORM 941-M IS USED BY CERTAIN FILERS
TO REPORT WITHHELD INCOME TAX, SOCIAL SECURITY TAXES, AND ADVANCE
EARNED INCOME CREDIT PAYMENTS MADE DURING THE MONTH. FILERS WHO
HAVE FAILED TO FILE FORM 941 OR DEPOSIT TAXES AS REQUIRED ARE
NOTIFIED BY THE DISTRICT DIRECTOR THAT THEY MUST FILE FORM 941-M
MONTHLY.
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.