[Federal Register Volume 60, Number 102 (Friday, May 26, 1995)]
[Notices]
[Page 28014]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-12931]



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DEPARTMENT OF THE TREASURY

Public Information Collection Requirements Submitted to OMB for 
Review

May 18, 1995.
    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: 1545-1342.
    Form Number: IRS Form W-5.
    Type of Review: Revision.
    Title: Earned Income Credit Advance Payment Certificate.
    Description: Form W-5 is used by employees to see if they are 
eligible for the earned income credit and to request part of the credit 
in advance with their pay. Eligible employees who want advance payments 
must give Form W-5 to their employers.
    Respondents: Individuals or households.
    Estimated Number of Respondents/Recordkeepers: 35,200.
    Estimated Burden Hours Per Respondent/Recordkeeper:
    Recordkeeping, 7 min.
    Learning about the law or the form, 9 min.
    Preparing the form, 27 min.
    Frequency of Response: Annually.
    Estimated Total Reporting/Recordkeeping Burden: 24,992 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. 95-12931 Filed 5-25-95; 8:45 am]
BILLING CODE 4830-01-P