[Federal Register Volume 59, Number 228 (Tuesday, November 29, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-29350]


[[Page Unknown]]

[Federal Register: November 29, 1994]


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DEPARTMENT OF THE TREASURY
 

Public Information Collection Requirements Submitted to OMB for 
Review

November 21, 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: 1545-0138
Form Number: IRS Form 2063
Type of Review: Extension
Title: U.S. Departing Alien Income Tax Statement
Description: Form 2063 is used by a departing resident alien against 
whom a termination assessment has not been made, or a departing 
nonresident alien who has no taxable income from United States sources, 
to certify that they have satisfied all U.S. income tax obligations. 
The data is used by IRS to certify that departing aliens have complied 
with U.S. income tax laws.
Respondents: Individuals or households
Estimated Number of Respondents/Recordkeepers: 20,540
Estimated Burden Hours Per Respondent/Recordkeeper:
    Recordkeeping--7 minutes
    Learning about the law or the form--2 minutes
    Preparing the form--32 minutes
    Copy, assembling, and sending the form to the IRS--14 minutes
Frequency of Response: On occasion
Estimated Total Reporting/Recordkeeping Burden: 18,691 hours

OMB Number: 1545-1096
Form Number: IRS Form 9117
Type of Review: Extension
Title: Excise Tax Program Order Blank for Forms and Publications
Description: Form 9117 allows taxpayers who must file Form 720 returns 
a systemic way to order additional tax forms and informational 
publications.
Respondents: Businesses or other for-profit, Small businesses or 
organizations
Estimated Number of Respondents: 15,000
Estimated Burden Hours Per Respondent: 2 minutes
Frequency of Response: Annually
Estimated Total Reporting Burden: 500 hours
Clearance Officer: Garrick Shear (202) 622-3869, Internal Revenue 
Service, Room 5571, 1111 Constitution Avenue, N.W., 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. 94-29350 Filed 11-28-94; 8:45 am]
BILLING CODE 4830-01-P