[Federal Register Volume 68, Number 190 (Wednesday, October 1, 2003)]
[Notices]
[Page 56664]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-24880]


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DEPARTMENT OF THE TREASURY


Submission for OMB Review; Comment Request

September 23, 2003.
    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, Pub. L. 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 
11000, 1750 Pennsylvania Avenue, NW., Washington, DC 20220.
    Dates: Written comments should be received on or before October 31, 
2003 to be assured of consideration.

Internal Revenue Service (IRS)

    OMB Number: 1545-0118.
    Form Number: IRS Form 1099-PATR.
    Type of Review: Extension.
    Title: Taxable Distributions Received From Cooperatives.
    Description: Form 1099-PATR is used to report patronage dividends 
paid by cooperatives (Internal Revenue Code section 6044). The 
information is used by IRS to verify compliance on the part of the 
recipient.
    Respondents: Business or other for-profit.
    Estimated Number of Respondents/Recordkeepers: 4,200.
    Estimated Burden Hours Per Respondent/Recordkeeper: 16 minutes.
    Frequency of Response: Annually.
    Estimated Total Reporting/Recordkeeping Burden: 509,895 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 sick pay payment.
    Respondents: Individuals or households.
    Estimated Number of Respondents/Recordkeepers: 500,000.
    Estimated Burden Hours Per Respondent/Recordkeeper:

Recordkeeping--39 min.
Learning about the law or the form--10 min.
Preparing and sending the form to the IRS--41 min.

    Frequency of Response: On occasion.
    Estimated Total Reporting/Recordkeeping Burden: 765,000 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. 03-24880 Filed 9-30-03; 8:45 am]
BILLING CODE 4830-01-P