[Federal Register Volume 67, Number 194 (Monday, October 7, 2002)]
[Notices]
[Pages 62524-62525]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-25361]


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DEPARTMENT OF THE TREASURY


Submission for OMB Review; Comment Request

September 30, 2002.
    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

[[Page 62525]]

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.
    Dates: Written comments should be received on or before November 6, 
2002 to be assured of consideration.

Internal Revenue Service (IRS)

    OMB Number: 1545-1518.
    Form Number: IRS Form 5498-MSA.
    Type of Review: Extension.
    Title: MSA or Medicare+Choice MSA Information.
    Description: Form 5498-MSA is used to report contributions to a 
medical savings account as set forth in section 220(h).
    Respondents: Business or other for-profit.
    Estimated Number of Respondents: 16,442.
    Estimated Burden Hours Per Respondent: 10 minutes.
    Frequency of Response: Annually.
    Estimated Total Reporting Burden: 6,988 hours.
    Clearance Officer: Glenn Kirkland (202) 622-3428, Internal Revenue 
Service, Room 6411-03, 1111 Constitution Avenue, NW., Washington, DC 
20224.
    OMB Reviewer: Joseph F. Lackey, Jr. (202) 395-7316, Office of 
Management and Budget, Room 10235, New Executive Office Building, 
Washington, DC 20503.

Mary A. Able,
Departmental Reports Management Officer.
[FR Doc. 02-25361 Filed 10-4-02; 8:45 am]
BILLING CODE 4830-01-P