[Federal Register Volume 59, Number 149 (Thursday, August 4, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-19028]


[[Page Unknown]]

[Federal Register: August 4, 1994]


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DEPARTMENT OF THE TREASURY
 

Public Information Collection Requirements Submitted to OMB for 
Review

July 28, 1994.
    The Department of 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 
2110, 1425 New York Avenue, NW., Washington, DC 20220.

Internal Revenue Service (IRS)

    OMB Number: 1545-0118.
    Form Number: IRS Form 1099-PATR.
    Type of Review: Revision.
    Title: Taxable Distributions Received From Cooperatives.
    Description: Form 1099-PATR is used to report patronage dividends 
paid by cooperatives (Internal Revenue Code section 6044). The 
information is used by IRS to verify reporting compliance on the part 
of the recipient.
    Respondents: Businesses or other for-profit.
    Estimated Number of Respondents: 4,200.
    Estimated Burden Hours Per Respondent: 11 minutes.
    Frequency of Response: Annually.
    Estimated Total Reporting Burden: 342,000 hours.

    OMB Number: 1545-0193.
    Form Number: IRS Form 4972.
    Type of Review: Revision.
    Title: Tax on Lump-Sum Distributions.
    Description: Internal Revenue Code (IRC) section 402(e) allows 
taxpayers to compute a separate tax on a lump-sum distribution from a 
qualified retirement plan. Form 4972 is used to correctly figure that 
tax. The data is used to verify the correctness of the separate tax. 
Form 4972 is also used to make the special 20% capital gain election 
attributable to pre-1974 participation from the lump-sum distribution.
    Respondents: Individuals or households.
    Estimated Number of Respondents/Recordkeepers: 140,000.

Estimated Burden Hours Per Respondent/Recordkeeper

    Recordkeeping: 33 min.
    Learning about the law or the form: 26 min.
    Preparing the form: 1 hr., 28 min.
    Copying, assembling, and sending the form to the IRS: 35 min.

    Frequency of Response: Annually.
    Estimated Total Reporting/Recordkeeping Burden: 424,200 hours.

    OMB Number: 1545-1065.
    Form Number: IRS Form 9003.
    Type of Review: Extension.
    Title: Additional Questions to be Completed by All Applicants for 
Permanent Residence in the United States.
    Description: Form 9003 is used by the State Department and the 
Immigration and Naturalization Service to gather certain additional 
information from ``green card'' applicants for the IRS as required by 
Section 6039E of the Internal Revenue Code of 1986. The answers are 
transcribed into a database for IRS computer processing.
    Respondents: Individuals or households.
    Estimated Number of Respondents: 933,000.
    Estimated Burden Hours Per Respondent: 5 minutes.
    Frequency of Response: Other (when applying for green card).
    Estimated Total Reporting Burden: 77,750 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) 395-7340, Office of Management 
and Budget, Room 10226, New Executive Office Building, Washington, DC 
20503.
Lois K. Holland,
Departmental Reports Management Officer.
[FR Doc. 94-19028 Filed 8-3-94; 8:45 am]
BILLING CODE: 4830-01-P