[Federal Register Volume 69, Number 57 (Wednesday, March 24, 2004)]
[Notices]
[Page 13957]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-6541]


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DEPARTMENT OF THE TREASURY


Submission for OMB Review; Comment Request

March 17, 2004.
    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 
11000, 1750 Pennsylvania Avenue, NW., Washington, DC 20220.

DATES: Written comments should be received on or before April 23, 2004, 
to be assured of consideration.

Internal Revenue Service (IRS)

    OMB Number: 1545-1703.
    Form Number: IRS Form 12815.
    Type of Review: Extension.
    Title: Return Post Card for the Community Based Outlet 
Participation.
    Description: This post card is used by the Community Based Outlet 
Program (CBOP) participants (i.e., grocery stores/pharmacies, copy 
centers, corporations, credit unions, city/county governments) to order 
products. The post card will be returns to the Western Area 
Distribution Center for processing.
    Respondents: Individuals or households.
    Estimated Number of Respondents: 10,000.
    Estimated Burden Hours Respondent: 5 minutes.
    Frequency of Response: On occasion.
    Estimated Total Reporting Burden: 834 hours.
    Clearance Officer: Glenn P. 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.

Lois K. Holland,
Treasury PRA Clearance Officer.
[FR Doc. 04-6541 Filed 3-23-04; 8:45 am]
BILLING CODE 4830-01-P