[Federal Register Volume 61, Number 199 (Friday, October 11, 1996)]
[Notices]
[Pages 53488-53489]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-26133]


-----------------------------------------------------------------------


DEPARTMENT OF THE TREASURY

Submission to OMB for Review; Comment Request

October 2, 1996.
    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 1995, Public Law 104-13. 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: New.
    Form Number: IRS Form W-4V.
    Type of Review: New collection.

[[Page 53489]]

    Title: Voluntary Withholding Request.
    Description: If an individual receives any of the following 
government payments, he/she may voluntarily complete Form W-4V to 
request that the payer withhold Federal Income tax. Those payments are 
unemployment compensation, social security benefits, tier I railroad 
retirement benefits, Commodity Credit Corporation loans or certain crop 
disaster payments under Agricultural Act of 1949 or Title II of the 
Disaster Assistance Act of 1988.
    Respondents: Individuals or households, Farms.
    Estimated Number of Respondents/Recordkeepers: 19,700,000.
    Estimated Burden Hours Per Respondent/Recordkeeper:
      Recordkeeping--7 min.
      Learning about the law or the form--5 min.
      Preparing the form--7 min.
      Copy, assembling, and sending the form to the IRS--10 min.
    Frequency of Response: On occasion
    Estimated Total Reporting/Recordkeeping Burden: 9,653,000 hours.
    Clearance Officer: Garrick Shear, (202) 622-3869, Internal Revenue 
Service, Room 5571, 1111 Constitution Avenue, N.W., Washington, DC 
20224.
    OMB Reviewer: Alexander T. Hunt, (202) 395-7340, Office of 
Management and Budget, Room 10226, New Executive Office Building, 
Washington, DC 20503.
Dale A. Morgan,
Departmental Reports Management Officer.
[FR Doc. 96-26133 Filed 10-10-96; 8:45 am]
BILLING CODE 4830-01-P