[Federal Register Volume 59, Number 14 (Friday, January 21, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-1463]


[[Page Unknown]]

[Federal Register: January 21, 1994]


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DEPARTMENT OF THE TREASURY
 

Public Information Collection Requirements Submitted to OMB for 
Review

January 14, 1994.
    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 1980, Public Law 96-511. 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 
3171 Treasury Annex, 1500 Pennsylvania Avenue, NW., Washington, DC 
20220.

Internal Revenue Service

    OMB Number: 1545-0153.
    Form Number: IRS Form 3206.
    Type of Review: Revision.
    Title: Information Statement by United Kingdom Withholding Agents 
Paying Dividends From U.S. Corporations to Residents of the United 
States and Certain Treaty Countries.
    Description: Form 3206 is used to report dividends paid by U.S. 
corporations through United Kingdom nominees to beneficial owners who 
are residents of countries other than the United Kingdom with which the 
U.S. has a tax treaty providing for reduced withholding rates on 
dividends. The data is used by IRS to determine whether the proper 
amount of income tax was withheld.
    Respondents: Individuals or households, Businesses or other for- 
profit.
    Estimated Number of Respondents/Recordkeepers: 5,000.
    Estimated Burden Hours Per Respondent/Recordkeeper: 3 hrs., 53 
mins.
    Frequency of Response: On occasion.
    Estimated Total Reporting/Recordkeeping Burden: 14,570 hours.

    OMB Number: 1545-0666.
    Form Number: IRS Form 673.
    Type of Review: Extension.
    Title: Statement for Claiming Benefits Provided by Section 911 of 
the Internal Revenue Code.
    Description: Form 673 is completed by a citizen of the United 
States and is furnished to his or her employer in order to exclude from 
income tax withholding all or part of the wages paid the citizen for 
services performed outside the United States.
    Respondents: Individuals or households.
    Estimated Number of Respondents: 50,000.
    Estimated Burden Hours Per Respondent: 30 minutes.
    Frequency of Response: On occasion.
    Estimated Total Reporting Burden: 25,000 hours.

Clearance Officer: Garrick Shear (202) 622-3869, Internal Revenue 
Service, Room 5571, 1111 Constitution Avenue, NW., Washington, DC 
20224.
OMB Reviewer: Milo Sunderhauf (202) 395-6880, Office of Management and 
Budget, Room 3001, New Executive Office Building, Washington, DC 20503.
Lois K. Holland,
Departmental Reports Management Officer.
[FR Doc. 94-1463 Filed 1-19-94; 4:15 pm]
BILLING CODE: 4830-01-P