OMB NO 0938-0008-2025

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The CMS-1500 form is the official standard Medicare and Medicaid health insurance claim form required by the Centers for Medicare Medicaid Services (CMS) of the U.S. Department of Health Human Services.
OMB 1545-0008. Section 6051 of the Internal Revenue Code requires employers to furnish income and withholding statements to employees and to the IRS. Employers report income and withholding information on Form W-2. Forms W-2AS, W-2GU, and W-2VI are variations of the W-2 for use in U.S. possessions.
a Employees social security number. OMB No. 1545-0008. This information is being furnished to the Internal Revenue Service. If you are required to file a tax return, a negligence penalty or other sanction may be imposed on you if this income is taxable and you fail to report it.
All of the 2025 Forms W-2, W-2AS, W-2GU, W-2VI, W-3, and W-3SS have been updated to show the new OMB Number 1545-0029. In addition, updated correction Forms W-2c and W-3c were released in June of 2024. The forms have a revision date (Rev. 6-2024) to the right of the bold W-2c or W-3c.
Forms 1040A, 1040EZ and 1040 substitute reproductions may be in black ink without the colored screening. The only exception to this rule is Form 1041-ES, which should always be printed with a very light gray shading in the color screened area.

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This ICR is a request for the renewal of a mandatory collection.
OMB Numbers are form and information collection numbers assigned by The Office of Management and Budget. The Office of Management and Budget is the largest office within the Executive Office of the President of the United States.

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