[Federal Register Volume 69, Number 160 (Thursday, August 19, 2004)]
[Notices]
[Page 51545]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-19037]


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DEPARTMENT OF THE TREASURY

Internal Revenue Service


Proposed Collection; Comment Request for Form 3911

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, Public Law 104-13 (44 U.S.C. 
3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning 
Form 3911, Taxpayer Statement Regarding Refund.

DATES: Written comments should be received on or before October 18, 
2004 to be assured of consideration.

ADDRESSES: Direct all written comments to Glenn P. 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 Carol Savage 
at Internal Revenue Service, room 6407, 1111 Constitution Avenue NW., 
Washington, DC 20224, or at (202) 622-3945, or through the Internet at 
[email protected].

SUPPLEMENTARY INFORMATION:
    Title: Taxpayer Statement Regarding Refund.
    OMB Number: 1545-1384.
    Form Number: 3911.
    Abstract: Form 3911 is used by taxpayers to notify the IRS that a 
tax refund previously claimed has not been received. The form is 
normally completed by the taxpayer as the result of an inquiry in which 
the taxpayer claims non-receipt, loss, theft or destruction of a tax 
refund, and IRS research shows that the refund has been issued. The 
information on the form is needed to clearly identify the refund to be 
traced.
    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, business or other for-
profit organizations, and not-for-profit institutions.
    Estimated Number of Respondents: 520,000.
    Estimated Time Per Response: 5 minutes.
    Estimated Total Annual Burden Hours: 43,160.
    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.

    Dated: August 13, 2004.
Carol Savage,
Management and Program Analyst.
[FR Doc. 04-19037 Filed 8-18-04; 8:45 am]
BILLING CODE 4830-01-P