Proposed Collection; Comment Request for the HCTC Medicare Family Member Registration Form, 5870 [2010-2324]
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5870
Federal Register / Vol. 75, No. 23 / Thursday, February 4, 2010 / Notices
information to be collected; (d) ways to
minimize the burden of the collection of
information on respondents, including
through the use of automated collection
techniques or other forms of information
technology; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information.
Approved: January 15, 2010.
R. Joseph Durbala,
IRS Supervisory Tax Analyst.
[FR Doc. 2010–2338 Filed 2–3–10; 8:45 am]
BILLING CODE 4830–01–P
DEPARTMENT OF THE TREASURY
Internal Revenue Service
Proposed Collection; Comment
Request for the HCTC Medicare Family
Member Registration Form
srobinson on DSKHWCL6B1PROD with NOTICES
AGENCY: Internal Revenue Service (IRS),
Treasury.
ACTION: Notice and request for
comments.
SUMMARY: The Department of the
Treasury, as part of its continuing effort
to reduce paperwork and respondent
burden, invites the general public and
other Federal agencies to take this
opportunity to comment on proposed
and/or continuing information
collections, as required by the
Paperwork Reduction Act of 1995,
Public Law 104–13 (44 U.S.C.
3506(c)(2)(A)). Currently, the IRS is
soliciting comments the HCTC Medicare
Family Member Registration Form.
DATES: Written comments should be
received on or before April 5, 2010 to
be assured of consideration.
ADDRESSES: Direct all written comments
to R. Joseph Durbala, Internal Revenue
Service, room 6129, 1111 Constitution
Avenue, NW., Washington, DC 20224.
FOR FURTHER INFORMATION CONTACT:
Requests for additional information or
copies of notice should be directed to
Dawn Bidne, at (202) 622–3933, or at
Internal Revenue Service, room 6129,
1111 Constitution Avenue, NW.,
Washington, DC 20224, or through the
Internet, at Dawn.E.Bidne@irs.gov.
SUPPLEMENTARY INFORMATION:
Title: HCTC Medicare Family Member
Registration Form.
OMB Number: 1545–2162.
Form Number: 14117.
Abstract: This form will be used by
the family members of HCTC eligible
individuals under circumstances where
the original candidate has died or
become divorced from the family
member. This form allows family
VerDate Nov<24>2008
17:31 Feb 03, 2010
Jkt 220001
member to begin the HCTC registration
process by verifying the family
member’s eligibility.
Current Actions: Extension of
currently approved collection. There are
no changes being made to the form at
this time.
Type of Review: Extension of
currently approved collection.
Affected Public: Business and forprofit.
Estimated Number of Respondents:
2,400.
Estimated Average Time per
Respondent: 30 mins.
Estimated Total Annual Burden
Hours: 1,200 hrs.
The following paragraph applies to all
of the collections of information covered
by this notice:
An agency may not conduct or
sponsor, and a person is not required to
respond to, a collection of information
unless the collection of information
displays a valid OMB control number.
Books or records relating to a collection
of information must be retained as long
as their contents may become material
in the administration of any internal
revenue law. Generally, tax returns and
tax return information are confidential,
as required by 26 U.S.C. 6103.
Request for Comments: Comments
submitted in response to this notice will
be summarized and/or included in the
request for OMB approval. All
comments will become a matter of
public record. Comments are invited on:
(a) Whether the collection of
information is necessary for the proper
performance of the functions of the
agency, including whether the
information shall have practical utility;
(b) the accuracy of the agency’s estimate
of the burden of the collection of
information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; (d) ways to
minimize the burden of the collection of
information on respondents, including
through the use of automated collection
techniques or other forms of information
technology; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information.
Approved: January 14, 2010.
R. Joseph Durbala,
IRS Supervisory Tax Analyst.
[FR Doc. 2010–2324 Filed 2–3–10; 8:45 am]
BILLING CODE 4830–01–P
PO 00000
Frm 00115
Fmt 4703
Sfmt 4703
DEPARTMENT OF THE TREASURY
Internal Revenue Service
Proposed Collection; Comment
Request for Form 13362
AGENCY: Internal Revenue Service (IRS),
Treasury.
ACTION: Notice and request for
comments.
SUMMARY: The Department of the
Treasury, as part of its continuing effort
to reduce paperwork and respondent
burden, invites the general public and
other Federal agencies to take this
opportunity to comment on proposed
and/or continuing information
collections, as required by the
Paperwork Reduction Act of 1995,
Public Law 104–13(44 U.S.C.
3506(c)(2)(A)). Currently, the IRS is
soliciting comments concerning Form
13362, Consent to Disclosure of Return
Information.
DATES: Written comments should be
received on or before April 5, 2010 to
be assured of consideration.
ADDRESSES: Direct all written comments
to R. Joseph Durbala, Internal Revenue
Service, room 6129, 1111 Constitution
Avenue, NW., Washington, DC 20224.
FOR FURTHER INFORMATION CONTACT:
Requests for additional information or
copies of the form and instructions
should be directed to Dawn Bidne at
Internal Revenue Service, room 6129,
1111 Constitution Avenue, NW.,
Washington, DC 20224, or at (202) 622–
3933, or through the Internet at
Dawn.E.Bidne@irs.gov.
SUPPLEMENTARY INFORMATION:
Title: Consent to Disclosure of Return
Information.
OMB Number: 1545–1856.
Form Number: 13362.
Abstract: The Consent Form is
provided to external applicant that will
allow the Service the ability to conduct
tax checks to determine if an applicant
is suitable for employment once they are
determined qualified and within reach
to receive an employment offer.
Current Actions: There are no changes
being made to the form at this time.
Type of Review: Extension of a
currently approved collection.
Affected Public: Federal Government.
Estimated Number of Respondents:
46,000.
Estimated Number of Respondents: 10
minutes.
Estimated Total Annual Burden
Hours: 7,664.
The following paragraph applies to all
of the collections of information covered
by this notice:
E:\FR\FM\04FEN1.SGM
04FEN1
]]>Agencies
[Federal Register Volume 75, Number 23 (Thursday, February 4, 2010)]
[Notices]
[Page 5870]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-2324]
-----------------------------------------------------------------------
DEPARTMENT OF THE TREASURY
Internal Revenue Service
Proposed Collection; Comment Request for the HCTC Medicare Family
Member Registration Form
AGENCY: Internal Revenue Service (IRS), Treasury.
ACTION: Notice and request for comments.
-----------------------------------------------------------------------
SUMMARY: The Department of the Treasury, as part of its continuing
effort to reduce paperwork and respondent burden, invites the general
public and other Federal agencies to take this opportunity to comment
on proposed and/or continuing information collections, as required by
the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C.
3506(c)(2)(A)). Currently, the IRS is soliciting comments the HCTC
Medicare Family Member Registration Form.
DATES: Written comments should be received on or before April 5, 2010
to be assured of consideration.
ADDRESSES: Direct all written comments to R. Joseph Durbala, Internal
Revenue Service, room 6129, 1111 Constitution Avenue, NW., Washington,
DC 20224.
FOR FURTHER INFORMATION CONTACT: Requests for additional information or
copies of notice should be directed to Dawn Bidne, at (202) 622-3933,
or at Internal Revenue Service, room 6129, 1111 Constitution Avenue,
NW., Washington, DC 20224, or through the Internet, at
Dawn.E.Bidne@irs.gov.
SUPPLEMENTARY INFORMATION:
Title: HCTC Medicare Family Member Registration Form.
OMB Number: 1545-2162.
Form Number: 14117.
Abstract: This form will be used by the family members of HCTC
eligible individuals under circumstances where the original candidate
has died or become divorced from the family member. This form allows
family member to begin the HCTC registration process by verifying the
family member's eligibility.
Current Actions: Extension of currently approved collection. There
are no changes being made to the form at this time.
Type of Review: Extension of currently approved collection.
Affected Public: Business and for-profit.
Estimated Number of Respondents: 2,400.
Estimated Average Time per Respondent: 30 mins.
Estimated Total Annual Burden Hours: 1,200 hrs.
The following paragraph applies to all of the collections of
information covered by this notice:
An agency may not conduct or sponsor, and a person is not required
to respond to, a collection of information unless the collection of
information displays a valid OMB control number. Books or records
relating to a collection of information must be retained as long as
their contents may become material in the administration of any
internal revenue law. Generally, tax returns and tax return information
are confidential, as required by 26 U.S.C. 6103.
Request for Comments: Comments submitted in response to this notice
will be summarized and/or included in the request for OMB approval. All
comments will become a matter of public record. Comments are invited
on: (a) Whether the collection of information is necessary for the
proper performance of the functions of the agency, including whether
the information shall have practical utility; (b) the accuracy of the
agency's estimate of the burden of the collection of information; (c)
ways to enhance the quality, utility, and clarity of the information to
be collected; (d) ways to minimize the burden of the collection of
information on respondents, including through the use of automated
collection techniques or other forms of information technology; and (e)
estimates of capital or start-up costs and costs of operation,
maintenance, and purchase of services to provide information.
Approved: January 14, 2010.
R. Joseph Durbala,
IRS Supervisory Tax Analyst.
[FR Doc. 2010-2324 Filed 2-3-10; 8:45 am]
BILLING CODE 4830-01-P
