[Federal Register Volume 62, Number 169 (Tuesday, September 2, 1997)] [Notices] [Pages 46402-46403] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 97-23130] ----------------------------------------------------------------------- DEPARTMENT OF THE TREASURY Submission to OMB for Review; Comment Request August 21, 1997. 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 8839. Type of Review: New collection. Title: Qualified Adoption Expenses. Description: Section 23 of the Internal Revenue Code allows taxpayers to claim a nonrefundable tax credit for qualified adoption expenses paid or incurred by the taxpayer. Code section 137 allows taxpayers to exclude amounts paid or expenses incurred by an employer for the qualified adoption expenses of the employee which are paid under an adoption assistance program. Form 8839 is used to figure the credit and/or exclusion. Respondents: Individuals or households. Estimated Number of Respondents: 50,000. Estimated Burden Hours Per Respondent/Recordkeeper: Recordkeeping--40 min. Learning about the law or the form--16 min. Preparing the form--1 hr., 24 min. Copying, assembling, and sending the form to the IRS--1 hr., 9 min. Frequency of Response: Annually. Estimated Total Reporting/Recordkeeping Burden: 144,500 hours. OMB Number: 1545-0098. Form Number: IRS Form 1045. Type of Review: Extension. Title: Application for Tentative Refund. Description: Form 1045 is used by individuals, estates, and trusts to apply [[Page 46403]] for a quick refund of taxes due to carryback of a net operating loss, unused general business credit, or claim of right adjustment under section 1341(b). The information obtained is used to determine the validity of the application. Respondents: Individuals or households, Business or other for- profit, Farms. Estimated Number of Respondents: 65,220. Estimated Burden Hours Per Respondent/Recordkeeper: Recordkeeping--26 min. Learning about the law or the form--31 min. Preparing the form--6 hr., 57 min. Copying, assembling, and sending the form to the IRS--56 min. Frequency of Response: On occasion. Estimated Total Reporting/Recordkeeping Burden: 576,545 hours. OMB Number: 1545-0717. Form Number: IRS Form W-4S. Type of Review: Extension. Title: Request for Federal Income Tax Withholding From Sick Pay. Description: Section 3402(o) of the Internal Revenue Code extends income tax withholding to sick pay payments made by third parties upon request of the payee. The information is used to determine the amount to be withheld from the third-party pay payment. Respondents: Individuals or households. Estimated Number of Respondents/Recordkeepers: 500,000. Estimated Burden Hours Per Respondent/Recordkeeper: Recordkeeping--40 min. Learning about the law or the form--7 min. Preparing the form--37 min. Frequency of Response: On occasion. Estimated Total Reporting/Recordkeeping Burden: 690,000 hours. Clearance Officer: Garrick Shear, (202) 622-3869, Internal Revenue Service, Room 5571, 1111 Constitution Avenue, NW., Washington, DC 20224. OMB Reviewer: Alexander T. Hunt, (202) 395-7860, Office of Management and Budget, Room 10226, New Executive Office Building, Washington, DC 20503. Dale A. Morgan, Departmental Reports Management Officer. [FR Doc. 97-23130 Filed 8-29-97; 8:45 am] BILLING CODE 4830-01-P