Submission for OMB Review; Comment Request, 36232-36234 [05-12325]
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36232
Federal Register / Vol. 70, No. 119 / Wednesday, June 22, 2005 / Notices
Frequency of Response: On occasion.
Estimated Total Reporting/
Recordkeeping Burden: 6,203 hours.
Clearance Officer: Glenn P. Kirkland,
(202) 622–3428.Internal Revenue
Service, Room 6516, 1111 Constitution
Avenue, NW., Washington, DC 20224.
OMB Reviewer: Alexander T. Hunt,
(202) 395–7316, Office of Management
and Budget, Room 10235, New
Executive Office Building, Washington,
DC 20503.
Lois K. Holland,
Treasury PRA Clearance Officer.
[FR Doc. 05–12324 Filed 6–21–05; 8:45 am]
BILLING CODE 4830–01–P
DEPARTMENT OF THE TREASURY
Submission for OMB Review;
Comment Request
June 14, 2005.
The Department of the Treasury has
submitted the following public
information collection requirement(s) to
OMB for review and clearance under the
Paperwork Reduction Act of 1995,
Public Law 104–13. Copies of the
submission(s) may be obtained by
calling the Treasury Bureau Clearance
Officer listed. Comments regarding this
information collection should be
addressed to the OMB reviewer listed
and to the Treasury Department
Clearance Officer, Department of the
Treasury, Room 11000, 1750
Pennsylvania Avenue, NW.,
Washington, DC 20220.
DATES: Written comments should be
received on or before July 22, 2005 to be
assured of consideration.
Internal Revenue Service (IRS)
OMB Number: 1545–0173.
Form Number: IRS Form 4563.
Type of Review: Extension.
Title: Exclusion of Income for Bona
Fide Residents of American Samoa.
Description: Form 4563 is used by
bona fide residents of American Samoa
whose income is from sources within
American Samoa, Guam, and the
Northern Mariana Islands to the extent
specified in Internal Revenue Code
(IRC) section 931. This information is
used by the IRS to determine if an
individual is eligible to exclude
possession source income.
Respondents: Individuals or
households.
Estimated Number of Respondents/
Recordkeepers: 100.
Estimated Burden Hours Respondent/
Recordkeeper:
Recordkeeping—33 min.
Learning about the law or the form—7
min.
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Preparing the form—25 min.
Copying, assembling, and sending the
form to the IRS—17 min.
Frequency of Response: Annually.
Estimated Total Reporting/
Recordkeeping Burden: 174 hours.
OMB Number: 1545–0256.
Form Number: IRS Forms 941c and
941cPR.
Type of Review: Extension.
Title: Form 941c: Supporting
Statement to Correct Information.
Form 941cPR: Planilla Para La
Correccion de Informacion.
Description: Used by employers to
correct previously reported FICA or
income tax data. It may be used to
support a credit or adjustment claimed
on a current return for an error in a prior
return period. The information is used
to reconcile wages and taxes previously
reported or used to support a claim for
refund, credit, or adjustment of FICA or
income tax.
Respondents: Business or other forprofit, not-for-profit institutions, State,
local or tribal government.
Estimated Number of Respondents/
Recordkeepers: 958,050.
Estimated Burden Hours Respondent/
Recordkeeper:
Form
941c
Recordkeeping .......
Learning about the
law or the form.
Preparing the form
Form
941cPR
8 hr., 51
min..
6 min. .....
7 hr., 24
min.
6 min.
15 min. ...
15 min
Frequency of Response: On occasion.
Estimated Total Reporting/
Recordkeeping Burden: 8,729,307 hours.
OMB Number: 1545–1204.
Form Number: IRS Form 8823.
Type of Review: Extension.
Title: Low-Income Housing Credit
Agencies Report of Noncompliance or
Building Disposition.
Description: Form 8823 is used by
housing agencies to report
noncompliance with the low-income
housing provisions of Code section 42.
Respondents: State, local or tribal
government.
Estimated Number of Respondents/
Recordkeepers: 20,000.
Estimated Burden Hours Respondent/
Recordkeeper:
Recordkeeping—7 hr., 39 min.
Learning about the law or the form—2
hr., 52 min.
Preparing and sending the form to the
IRS—3 hr., 7 min,
Frequency of Response: On occasion.
Estimated Total Reporting/
Recordkeeping Burden: 273,200 hours.
OMB Number: 1545–1435.
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Regulation Project Number: EE–45–93
Final.
Type of Review: Extension.
Title: Electronic Filing of Form W–4.
Description: Information is required
by the Internal Revenue Service to
verify compliance with section
31.3402(f)(2)–1(g)(1), which requires
submission to the Service of certain
withholding exemption certificates. The
affected respondents are employers that
choose to make electronic filing of
Forms W–4 available to their
employees.
Respondents: Business or other forprofit, not-for-profit institutions, Federal
Government, State, local or tribal
government.
Estimated Number of Respondents:
2,000.
Estimated Burden Hours Respondent:
20 hours.
Frequency of Response: On occasion.
Estimated Total Reporting Burden:
40,000 hours.
OMB Number: 1545–1485.
Regulation Project Number: PS–4–96
Final.
Type of Review: Extension.
Title: Sale of Residence from
Qualified Personal Residence Trust.
Description: Internal Revenue Code
section 2702(a)(3) provides special
favorable valuation rules for valuing the
gift of a personal residence trust.
Regulation section 25.2702–5(a)(2)
provides that if the trust fails to comply
with the requirements contained in the
regulations, the trust will be treated as
complying if a statement is attached to
the gift tax return reporting the gift
stating that a proceeding has been
commenced to reform the instrument to
comply with the requirements of the
regulations.
Respondents: Individuals or
households.
Estimated Number of Respondents:
200.
Estimated Burden Hours Respondent:
3 hours, 7 minutes.
Frequency of Response: On occasion.
Estimated Total Reporting Burden:
625 hours.
OMB Number: 1545–1493.
Regulation Project Number: PS–7–89
Final.
Type of Review: Extension.
Title: Treatment of Gain from the
Disposition of Interest in Certain
Natural Resource Recapture Property by
S Corporations and Their Shareholders.
Description: The regulation prescribes
rules under section 1254 relating to the
treatment by S corporations and their
shareholders of gain from the
disposition of natural resource recapture
property and from the sale or exchange
of S corporation stock. Shareholders
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Federal Register / Vol. 70, No. 119 / Wednesday, June 22, 2005 / Notices
that sell or exchange stock may submit
a statement to rebut presumption of gain
treatment.
Respondents: Business or other forprofit, Individuals or households.
Estimated Number of Respondents:
1,000.
Estimated Burden Hours Respondent:
1 hour.
Frequency of Response: On occasion.
Estimated Total Reporting Burden:
1,000 hours.
OMB Number: 1545–1496.
Regulation Project Number: REG–
209673–93 Final.
Type of Review: Extension.
Title: Mark to Market for Dealers in
Securities.
Description: Under section 1,475(b)–
4, the information required to be
recorded is required by the IRS to
determine whether exemption from
mark-to-market treatment is properly
claimed, and will be used to make that
determination upon audit of taxpayer’s
books and records. Also, under section
1.475(c)–1(a)(3)(iii), the information is
necessary for the Service to determine
whether a consolidated group has
elected to disregard inter-member
transactions in determining a member’s
status as a dealer in securities.
Respondents: Business or other forprofit.
Estimated Number of Respondents/
Recordkeepers: 3,400.
Estimated Burden Hours Respondent/
Recordkeeper: 52 minutes.
Frequency of Response: Other (once).
Estimated Total Reporting/
Recordkeeping Burden: 2,950 hours.
OMB Number: 1545–1638.
Form Number: IRS Form 12196
(formerly Form 7130–A).
Type of Review: Reinstatement.
Title: Small Business Office Order
Blank.
Description: Form 12196 is to be used
by small business outlets to order IRS
tax forms and publications. The form
can be faxed directly to the IRS Area
Distribution Center for order fulfillment,
packaging and mailing.
Respondents: Business or other forprofit.
Estimated Number of Respondents:
500.
Estimated Burden Hours Respondent:
5 minutes.
Frequency of Response: On occasion.
Estimated Total Reporting Burden: 42
hours.
OMB Number: 1545–1649.
Revenue Procedure Number: Revenue
Procedure 99–21.
Type of Review: Extension.
Title: Disability Suspension.
Description: The information is
needed to establish a claim that a
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taxpayer was financially disabled for
purposes of section 6511(h) of the
Internal Revenue Code (which was
added by section 3203 of the Internal
Revenue Service Restructuring and
Reform Act of 1998). Under section
6511(h), the statute of limitations on
claims for credit or refund is suspended
for any period of an individual
taxpayer’s life during which the
taxpayer is unable to manage his or her
financial affairs because of a medically
determinable mental or physical
impairment, if the impairment can be
expected to result in death, or has lasted
(or can be expected to last) for a
continuous period of not less than 12
months. Section 6511(h)(2)(A) requires
that proof of the taxpayer’s financial
disability be furnished to the Internal
Revenue Service.
Respondents: Individuals or
households.
Estimated Number of Respondents:
48,200.
Estimated Burden Hours Respondent:
30 minutes.
Frequency of Response: On occasion.
Estimated Total Reporting Burden:
24,100 hours.
OMB Number: 1545–1655.
Regulation Project Number: REG–
121946–98 Final.
Type of Review: Extension.
Title: Private Foundation Disclosure
Rules.
Description: The collections of
information in sections 301.6104(d)–1,
301.6104(d)–2 and 301.6104(d)–3 are
necessary so that private foundations
can make copies of their applications for
tax-exemption and annual information
returns available to the public.
Respondents: Not-for-profit
institutions.
Estimated Number of Respondents/
Recordkeepers: 65,065.
Estimated Burden Hours Respondent/
Recordkeeper: 30 minutes.
Frequency of Response: On occasion.
Estimated Total Reporting/
Recordkeeping Burden: 32,596 hours.
OMB Number: 1545–1765.
Regulation Project Number: REG–
119436 (TD 9171).
Type of Review: Extension.
Title: New Markets Tax Credit.
Description: The regulations provide
guidance for taxpayers claiming the new
markets tax credit under section 45D of
the Internal Revenue Code. The
reporting requirements in the
regulations require a qualified
community development entity (CDE) to
provide written notice to: (1) Any
taxpayer who acquires an equity
investment in the CDE at its original
issue that the equity investment is a
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36233
qualified equity investment entitling the
taxpayer to claim the new markets tax
credit; and (2) each holder of a qualified
equity investment, including all prior
holders of that investment, that a
recapture event has occurred. CDEs
must comply with such reporting
requirements to the Secretary as the
Secretary may prescribe.
Respondents: Business or other forprofit, not-for-profit institutions.
Estimated Number of Respondents/
Recordkeepers: 47.
Estimated Burden Hours Respondent/
Recordkeeper: 2 hours, 30 minutes.
Frequency of Response: Annually.
Estimated Total Reporting/
Recordkeeping Burden: 210 hours.
OMB Number: 1545–1773.
Revenue Procedure Number: Revenue
Procedure 2002–23.
Type of Review: Extension.
Title: Taxation of Canadian
Retirement Plans under U.S.-Canada
Income Tax Treaty.
Description: This Revenue Procedure
provides guidance for the application by
U.S. citizens and residents of the U.S.Canada Income Tax Treaty, as amended
by the 1995 protocol, order to defer U.S.
income taxes on income accrued in
certain Canadian retirement plans.
Respondents: Individuals or
households.
Estimated Number of Respondents:
20,000.
Estimated Burden Hours Respondent:
30 minutes.
Frequency of Response: Other (once).
Estimated Total Reporting Burden:
10,000 hours.
OMB Number: 1545–1792.
Regulation Project Number: REG–
164754–01 NPRM.
Type of Review: Extension.
Title: Split-Dollar Life Insurance
Arrangements.
Description: The proposed regulations
provide guidance for loans made
pursuant to a split-dollar life insurance
arrangement. To obtain a particular
treatment under the regulations for
certain split-dollar loans, the parties to
the loan must make a written
representation, which must be kept as
part of their books and records and a
copy filed with their federal income tax
returns. In addition, if a split-dollar loan
provides for contingent payments, the
lender must produce a projected
payment schedule for the loan and give
the borrower a copy of the schedule.
This schedule is used by the parties to
compute their interest accruals and any
imputed transfers for tax purposes.
Respondents: Business or other forprofit, individuals or households, notfor-profit institutions.
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Federal Register / Vol. 70, No. 119 / Wednesday, June 22, 2005 / Notices
Estimated Number of Respondents/
Recordkeepers: 115,000.
Estimated Burden Hours Respondent/
Recordkeeper: 45 minutes.
Frequency of Response: On occasion.
Estimated Total Reporting/
Recordkeeping Burden: 32,500 hours.
DEPARTMENT OF VETERANS
AFFAIRS
OMB Number: 1545–1922.
Form Number: IRS Form 12884.
Type of Review: Extension.
Title: Survey Questionnaire.
Description: Form 12884 is used to
collect statistical information regarding
advertising sources and RNO data.
Respondents: Individuals or
households, Federal Government.
Estimated Number of Respondents:
33,085.
Estimated Burden Hours Respondent:
5 minutes.
Frequency of Response: On occasion.
Estimated Total Reporting Burden:
2,757 hours.
AGENCY:
OMB Number: 1545–1924.
Form Number: IRS Form 8864.
Type of Review: Extension.
Title: Biodiesel Fuels Credit.
Description: New Internal Revenue
Code (IRC) section 40A provides a credit
for biodiesel or qualified mixtures. IRC
section 38(b)(17) allows a
nonrefundable income tax credit for
businesses that sell or use biodiesel.
Form 8864 is used to figure the credits.
Respondents: Business or other forprofit.
Estimated Number of Respondents/
Recordkeepers: 40.
Estimated Burden Hours Respondent/
Recordkeeper:
Recordkeeping—7 hr., 24 min.
Learning about the law or the form—45
min.
Preparing and sending the form to the
IRS—2 hr., 7 min.
Frequency of Response: Annually.
Estimated Total Reporting/
Recordkeeping Burden: 412 hours.
Clearance Officer: Glenn P. Kirkland
(202) 622–3428, Internal Revenue
Service, Room 6516, 1111 Constitution
Avenue, NW., Washington, DC 20224.
OMB Reviewer: Alexander T. Hunt
(202) 395–7316, Office of Management
and Budget, Room 10235, New
Executive Office Building, Washington,
DC 20503.
Lois K. Holland,
Treasury PRA Clearance Officer.
[FR Doc. 05–12325 Filed 6–21–05; 8:45 am]
BILLING CODE 4830–01–P
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Jkt 205001
[OMB Control No. 2900–0620]
Proposed Information Collection
Activity: Proposed Collection;
Comment Request
Veterans Health
Administration, Department of Veterans
Affairs.
ACTION: Notice.
SUMMARY: The Veterans Health
Administration (VHA) is announcing an
opportunity for public comment on the
proposed collection of certain
information by the agency. Under the
Paperwork Reduction Act (PRA) of
1995, Federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension of a currently approved
collection, and allow 60 days for public
comment in response to the notice. This
notice solicits comments for information
needed to determine a claimant’s
eligibility for reimbursement or
payment for emergency medical
treatment at a non-VA facility.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before August 22, 2005.
ADDRESSES: Submit written comments
on the collection of information to Ann
Bickoff, Veterans Health Administration
(193B1), Department of Veterans Affairs,
810 Vermont Avenue, NW.,
Washington, DC 20420 or e-mail:
ann.bickoff@hq.med.va.gov. Please refer
to ‘‘OMB Control No. 2900–0620’’ in
any correspondence.
FOR FURTHER INFORMATION CONTACT: Ann
Bickoff at (202) 273–8310.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–3521), Federal agencies must
obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. This request for comment is
being made pursuant to section
3506(c)(2)(A) of the PRA.
With respect to the following
collection of information, VHA invites
comments on: (1) Whether the proposed
collection of information is necessary
for the proper performance of VHA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VHA’s estimate of
the burden of the proposed collection of
information; (3) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (4)
ways to minimize the burden of the
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collection of information on
respondents, including through the use
of automated collection techniques or
the use of other forms of information
technology.
Title: Payment and Reimbursement
for Emergency Services for Non
Service–Connected Conditions in Non–
VA Facilities.
OMB Control Number: 2900–0620.
Type of Review: Extension of a
currently approved collection.
Abstract: VA uses the data collected
to determine a claimant’s eligibility for
reimbursement or payment for
emergency medical treatment at a nonVA facility.
Affected Public: Business or other forprofit, individuals or households, and
not-for-profit institutions.
Estimated Total Annual Burden:
147,187 hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
294,373.
Dated: June 13, 2005.
By direction of the Secretary:
Loise Russell,
Director, Records Management Service.
[FR Doc. 05–12340 Filed 6–21–05; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0635]
Proposed Information Collection
Activity: Proposed Collection;
Comment Request
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
SUMMARY: The Veterans Benefits
Administration (VBA), Department of
Veterans Affairs (VA), is announcing an
opportunity for public comment on the
proposed collection of certain
information used by the agency. Under
the Paperwork Reduction Act (PRA) of
1995, Federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension of a currently approved
collection, and allow 60 days for public
comment in response to the notice. This
notice solicits comments on information
needed to request a beneficiary’s current
mailing address.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before August 22, 2005.
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Agencies
[Federal Register Volume 70, Number 119 (Wednesday, June 22, 2005)]
[Notices]
[Pages 36232-36234]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-12325]
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DEPARTMENT OF THE TREASURY
Submission for OMB Review; Comment Request
June 14, 2005.
The Department of the Treasury has submitted the following public
information collection requirement(s) to OMB for review and clearance
under the Paperwork Reduction Act of 1995, Public Law 104-13. Copies of
the submission(s) may be obtained by calling the Treasury Bureau
Clearance Officer listed. Comments regarding this information
collection should be addressed to the OMB reviewer listed and to the
Treasury Department Clearance Officer, Department of the Treasury, Room
11000, 1750 Pennsylvania Avenue, NW., Washington, DC 20220.
DATES: Written comments should be received on or before July 22, 2005
to be assured of consideration.
Internal Revenue Service (IRS)
OMB Number: 1545-0173.
Form Number: IRS Form 4563.
Type of Review: Extension.
Title: Exclusion of Income for Bona Fide Residents of American
Samoa.
Description: Form 4563 is used by bona fide residents of American
Samoa whose income is from sources within American Samoa, Guam, and the
Northern Mariana Islands to the extent specified in Internal Revenue
Code (IRC) section 931. This information is used by the IRS to
determine if an individual is eligible to exclude possession source
income.
Respondents: Individuals or households.
Estimated Number of Respondents/Recordkeepers: 100.
Estimated Burden Hours Respondent/Recordkeeper:
Recordkeeping--33 min.
Learning about the law or the form--7 min.
Preparing the form--25 min.
Copying, assembling, and sending the form to the IRS--17 min.
Frequency of Response: Annually.
Estimated Total Reporting/Recordkeeping Burden: 174 hours.
OMB Number: 1545-0256.
Form Number: IRS Forms 941c and 941cPR.
Type of Review: Extension.
Title: Form 941c: Supporting Statement to Correct Information.
Form 941cPR: Planilla Para La Correccion de Informacion.
Description: Used by employers to correct previously reported FICA
or income tax data. It may be used to support a credit or adjustment
claimed on a current return for an error in a prior return period. The
information is used to reconcile wages and taxes previously reported or
used to support a claim for refund, credit, or adjustment of FICA or
income tax.
Respondents: Business or other for-profit, not-for-profit
institutions, State, local or tribal government.
Estimated Number of Respondents/Recordkeepers: 958,050.
Estimated Burden Hours Respondent/Recordkeeper:
------------------------------------------------------------------------
Form 941c Form 941cPR
------------------------------------------------------------------------
Recordkeeping................... 8 hr., 51 min..... 7 hr., 24 min.
Learning about the law or the 6 min............. 6 min.
form.
Preparing the form.............. 15 min............ 15 min
------------------------------------------------------------------------
Frequency of Response: On occasion.
Estimated Total Reporting/Recordkeeping Burden: 8,729,307 hours.
OMB Number: 1545-1204.
Form Number: IRS Form 8823.
Type of Review: Extension.
Title: Low-Income Housing Credit Agencies Report of Noncompliance
or Building Disposition.
Description: Form 8823 is used by housing agencies to report
noncompliance with the low-income housing provisions of Code section
42.
Respondents: State, local or tribal government.
Estimated Number of Respondents/Recordkeepers: 20,000.
Estimated Burden Hours Respondent/Recordkeeper:
Recordkeeping--7 hr., 39 min.
Learning about the law or the form--2 hr., 52 min.
Preparing and sending the form to the IRS--3 hr., 7 min,
Frequency of Response: On occasion.
Estimated Total Reporting/Recordkeeping Burden: 273,200 hours.
OMB Number: 1545-1435.
Regulation Project Number: EE-45-93 Final.
Type of Review: Extension.
Title: Electronic Filing of Form W-4.
Description: Information is required by the Internal Revenue
Service to verify compliance with section 31.3402(f)(2)-1(g)(1), which
requires submission to the Service of certain withholding exemption
certificates. The affected respondents are employers that choose to
make electronic filing of Forms W-4 available to their employees.
Respondents: Business or other for-profit, not-for-profit
institutions, Federal Government, State, local or tribal government.
Estimated Number of Respondents: 2,000.
Estimated Burden Hours Respondent: 20 hours.
Frequency of Response: On occasion.
Estimated Total Reporting Burden: 40,000 hours.
OMB Number: 1545-1485.
Regulation Project Number: PS-4-96 Final.
Type of Review: Extension.
Title: Sale of Residence from Qualified Personal Residence Trust.
Description: Internal Revenue Code section 2702(a)(3) provides
special favorable valuation rules for valuing the gift of a personal
residence trust. Regulation section 25.2702-5(a)(2) provides that if
the trust fails to comply with the requirements contained in the
regulations, the trust will be treated as complying if a statement is
attached to the gift tax return reporting the gift stating that a
proceeding has been commenced to reform the instrument to comply with
the requirements of the regulations.
Respondents: Individuals or households.
Estimated Number of Respondents: 200.
Estimated Burden Hours Respondent: 3 hours, 7 minutes.
Frequency of Response: On occasion.
Estimated Total Reporting Burden: 625 hours.
OMB Number: 1545-1493.
Regulation Project Number: PS-7-89 Final.
Type of Review: Extension.
Title: Treatment of Gain from the Disposition of Interest in
Certain Natural Resource Recapture Property by S Corporations and Their
Shareholders.
Description: The regulation prescribes rules under section 1254
relating to the treatment by S corporations and their shareholders of
gain from the disposition of natural resource recapture property and
from the sale or exchange of S corporation stock. Shareholders
[[Page 36233]]
that sell or exchange stock may submit a statement to rebut presumption
of gain treatment.
Respondents: Business or other for-profit, Individuals or
households.
Estimated Number of Respondents: 1,000.
Estimated Burden Hours Respondent: 1 hour.
Frequency of Response: On occasion.
Estimated Total Reporting Burden: 1,000 hours.
OMB Number: 1545-1496.
Regulation Project Number: REG-209673-93 Final.
Type of Review: Extension.
Title: Mark to Market for Dealers in Securities.
Description: Under section 1,475(b)-4, the information required to
be recorded is required by the IRS to determine whether exemption from
mark-to-market treatment is properly claimed, and will be used to make
that determination upon audit of taxpayer's books and records. Also,
under section 1.475(c)-1(a)(3)(iii), the information is necessary for
the Service to determine whether a consolidated group has elected to
disregard inter-member transactions in determining a member's status as
a dealer in securities.
Respondents: Business or other for-profit.
Estimated Number of Respondents/Recordkeepers: 3,400.
Estimated Burden Hours Respondent/Recordkeeper: 52 minutes.
Frequency of Response: Other (once).
Estimated Total Reporting/Recordkeeping Burden: 2,950 hours.
OMB Number: 1545-1638.
Form Number: IRS Form 12196 (formerly Form 7130-A).
Type of Review: Reinstatement.
Title: Small Business Office Order Blank.
Description: Form 12196 is to be used by small business outlets to
order IRS tax forms and publications. The form can be faxed directly to
the IRS Area Distribution Center for order fulfillment, packaging and
mailing.
Respondents: Business or other for-profit.
Estimated Number of Respondents: 500.
Estimated Burden Hours Respondent: 5 minutes.
Frequency of Response: On occasion.
Estimated Total Reporting Burden: 42 hours.
OMB Number: 1545-1649.
Revenue Procedure Number: Revenue Procedure 99-21.
Type of Review: Extension.
Title: Disability Suspension.
Description: The information is needed to establish a claim that a
taxpayer was financially disabled for purposes of section 6511(h) of
the Internal Revenue Code (which was added by section 3203 of the
Internal Revenue Service Restructuring and Reform Act of 1998). Under
section 6511(h), the statute of limitations on claims for credit or
refund is suspended for any period of an individual taxpayer's life
during which the taxpayer is unable to manage his or her financial
affairs because of a medically determinable mental or physical
impairment, if the impairment can be expected to result in death, or
has lasted (or can be expected to last) for a continuous period of not
less than 12 months. Section 6511(h)(2)(A) requires that proof of the
taxpayer's financial disability be furnished to the Internal Revenue
Service.
Respondents: Individuals or households.
Estimated Number of Respondents: 48,200.
Estimated Burden Hours Respondent: 30 minutes.
Frequency of Response: On occasion.
Estimated Total Reporting Burden: 24,100 hours.
OMB Number: 1545-1655.
Regulation Project Number: REG-121946-98 Final.
Type of Review: Extension.
Title: Private Foundation Disclosure Rules.
Description: The collections of information in sections
301.6104(d)-1, 301.6104(d)-2 and 301.6104(d)-3 are necessary so that
private foundations can make copies of their applications for tax-
exemption and annual information returns available to the public.
Respondents: Not-for-profit institutions.
Estimated Number of Respondents/Recordkeepers: 65,065.
Estimated Burden Hours Respondent/Recordkeeper: 30 minutes.
Frequency of Response: On occasion.
Estimated Total Reporting/Recordkeeping Burden: 32,596 hours.
OMB Number: 1545-1765.
Regulation Project Number: REG-119436 (TD 9171).
Type of Review: Extension.
Title: New Markets Tax Credit.
Description: The regulations provide guidance for taxpayers
claiming the new markets tax credit under section 45D of the Internal
Revenue Code. The reporting requirements in the regulations require a
qualified community development entity (CDE) to provide written notice
to: (1) Any taxpayer who acquires an equity investment in the CDE at
its original issue that the equity investment is a qualified equity
investment entitling the taxpayer to claim the new markets tax credit;
and (2) each holder of a qualified equity investment, including all
prior holders of that investment, that a recapture event has occurred.
CDEs must comply with such reporting requirements to the Secretary as
the Secretary may prescribe.
Respondents: Business or other for-profit, not-for-profit
institutions.
Estimated Number of Respondents/Recordkeepers: 47.
Estimated Burden Hours Respondent/Recordkeeper: 2 hours, 30
minutes.
Frequency of Response: Annually.
Estimated Total Reporting/Recordkeeping Burden: 210 hours.
OMB Number: 1545-1773.
Revenue Procedure Number: Revenue Procedure 2002-23.
Type of Review: Extension.
Title: Taxation of Canadian Retirement Plans under U.S.-Canada
Income Tax Treaty.
Description: This Revenue Procedure provides guidance for the
application by U.S. citizens and residents of the U.S.-Canada Income
Tax Treaty, as amended by the 1995 protocol, order to defer U.S. income
taxes on income accrued in certain Canadian retirement plans.
Respondents: Individuals or households.
Estimated Number of Respondents: 20,000.
Estimated Burden Hours Respondent: 30 minutes.
Frequency of Response: Other (once).
Estimated Total Reporting Burden: 10,000 hours.
OMB Number: 1545-1792.
Regulation Project Number: REG-164754-01 NPRM.
Type of Review: Extension.
Title: Split-Dollar Life Insurance Arrangements.
Description: The proposed regulations provide guidance for loans
made pursuant to a split-dollar life insurance arrangement. To obtain a
particular treatment under the regulations for certain split-dollar
loans, the parties to the loan must make a written representation,
which must be kept as part of their books and records and a copy filed
with their federal income tax returns. In addition, if a split-dollar
loan provides for contingent payments, the lender must produce a
projected payment schedule for the loan and give the borrower a copy of
the schedule. This schedule is used by the parties to compute their
interest accruals and any imputed transfers for tax purposes.
Respondents: Business or other for-profit, individuals or
households, not-for-profit institutions.
[[Page 36234]]
Estimated Number of Respondents/Recordkeepers: 115,000.
Estimated Burden Hours Respondent/Recordkeeper: 45 minutes.
Frequency of Response: On occasion.
Estimated Total Reporting/Recordkeeping Burden: 32,500 hours.
OMB Number: 1545-1922.
Form Number: IRS Form 12884.
Type of Review: Extension.
Title: Survey Questionnaire.
Description: Form 12884 is used to collect statistical information
regarding advertising sources and RNO data.
Respondents: Individuals or households, Federal Government.
Estimated Number of Respondents: 33,085.
Estimated Burden Hours Respondent: 5 minutes.
Frequency of Response: On occasion.
Estimated Total Reporting Burden: 2,757 hours.
OMB Number: 1545-1924.
Form Number: IRS Form 8864.
Type of Review: Extension.
Title: Biodiesel Fuels Credit.
Description: New Internal Revenue Code (IRC) section 40A provides a
credit for biodiesel or qualified mixtures. IRC section 38(b)(17)
allows a nonrefundable income tax credit for businesses that sell or
use biodiesel. Form 8864 is used to figure the credits.
Respondents: Business or other for-profit.
Estimated Number of Respondents/Recordkeepers: 40.
Estimated Burden Hours Respondent/Recordkeeper:
Recordkeeping--7 hr., 24 min.
Learning about the law or the form--45 min.
Preparing and sending the form to the IRS--2 hr., 7 min.
Frequency of Response: Annually.
Estimated Total Reporting/Recordkeeping Burden: 412 hours.
Clearance Officer: Glenn P. Kirkland (202) 622-3428, Internal
Revenue Service, Room 6516, 1111 Constitution Avenue, NW., Washington,
DC 20224.
OMB Reviewer: Alexander T. Hunt (202) 395-7316, Office of
Management and Budget, Room 10235, New Executive Office Building,
Washington, DC 20503.
Lois K. Holland,
Treasury PRA Clearance Officer.
[FR Doc. 05-12325 Filed 6-21-05; 8:45 am]
BILLING CODE 4830-01-P