Information Collection Request

Form 1042, Schedule Q (Form 1042), Form 1042-S, Form 1042-T, and Section 871(m) Transactions

ICR 202211-1545-008 · OMB 1545-0096 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1545-0096 can be found here:

Forms and Documents

Document Name	Status
Form 1042 Annual Withholding Tax Return for U.S. Source Income of Foreign Persons Form	Modified
Form Schedule Q (Form 1 Tax Liability of Qualified Derivatives Dealer (QDD) Form and Instruction	New
Form 1042-T Annual Summary and Transmittal of Forms 1042-S Form and Instruction	Modified
Form 1042-S Foreign Person's U.S. Source Income Subject to Withholding Form	Modified
1545-0096 Supporting Statement.docx Supporting Statement A	2022-11-22

IC Document Collections

IC ID	Document Title	Status
39506	Annual Withholding Tax Return for U.S. Source Income of Foreign Persons Form	Modified
257078	Tax Liability of Qualified Derivatives Dealer (QDD) Form and Instruction	New
217930	Section 871(m) Transactions	Modified
185426	Annual Summary and Transmittal of Forms 1042-S Form and Instruction	Modified
185425	Foreign Person's U.S. Source Income Subject to Withholding Form	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	TREAS/IRS
OMB Control No	1545-0096
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202011-1545-016
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31