[Federal Register Volume 68, Number 75 (Friday, April 18, 2003)]
[Notices]
[Page 19255]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-9643]


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DEPARTMENT OF THE TREASURY

Internal Revenue Service


Proposed Collection; Comment Request for Form 4137

AGENCY: Internal Revenue Service (IRS), Treasury.

ACTION: Notice and request for comments.

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SUMMARY: The Department of the Treasury, as part of its continuing 
effort to reduce paperwork and respondent burden, invites the general 
public and other Federal agencies to take this opportunity to comment 
on proposed and/or continuing information collections, as required by 
the Paperwork Reduction Act of 1995, Pub. L. 104-13 (44 U.S.C. 
3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning 
Form 4137, Social Security and Medicare Tax on Unreported Tip Income.

DATES: Written comments should be received on or before June 17, 2003 
to be assured of consideration.

ADDRESSES: Direct all written comments to Glenn Kirkland, Internal 
Revenue Service, room 6411, 1111 Constitution Avenue NW., Washington, 
DC 20224.

FOR FURTHER INFORMATION CONTACT: Requests for additional information or 
copies of the form and instructions should be directed to Allan 
Hopkins, (202) 622-6665, or through the Internet 
([email protected]), Internal Revenue Service, room 6407, 1111 
Constitution Avenue NW., Washington, DC 20224.

SUPPLEMENTARY INFORMATION: 
    Title: Social Security and Medicare Tax on Unreported Tip Income.
    OMB Number: 1545-0059.
    Form Number: Form 4137.
    Abstract: Form 4137 is used to figure the social security and 
Medicare tax owed on tips received by an employee but not reported to 
his or her employer, including any allocated tips shown on Form W-2 
that must be reported as income. Form 4137 is also used to compute the 
social security and Medicare tips to be credited to the employee's 
social security record.
    Current Actions: There are no changes being made to the form at 
this time.
    Type of Review: Extension of a currently approved collection.
    Affected Public: Individuals or households.
    Estimated Number of Respondents: 76,000.
    Estimated Time Per Respondent: 1 hr., 20 min.
    Estimated Total Annual Burden Hours: 101,080.
    The following paragraph applies to all of the collections of 
information covered by this notice: An agency may not conduct or 
sponsor, and a person is not required to respond to, a collection of 
information unless the collection of information displays a valid OMB 
control number. Books or records relating to a collection of 
information must be retained as long as their contents may become 
material in the administration of any internal revenue law. Generally, 
tax returns and tax return information are confidential, as required by 
26 U.S.C. 6103.
    Request for Comments: Comments submitted in response to this notice 
will be summarized and/or included in the request for OMB approval. All 
comments will become a matter of public record. Comments are invited 
on: (a) Whether the collection of information is necessary for the 
proper performance of the functions of the agency, including whether 
the information shall have practical utility; (b) the accuracy of the 
agency's estimate of the burden of the collection of information; (c) 
ways to enhance the quality, utility, and clarity of the information to 
be collected; (d) ways to minimize the burden of the collection of 
information on respondents, including through the use of automated 
collection techniques or other forms of information technology; and (e) 
estimates of capital or start-up costs and costs of operation, 
maintenance, and purchase of services to provide information.

    Approved: April 14, 2003.
Glenn Kirkland,
IRS Reports Clearance Officer.
[FR Doc. 03-9643 Filed 4-17-03; 8:45 am]
BILLING CODE 4830-01-P