[Federal Register Volume 69, Number 181 (Monday, September 20, 2004)]
[Notices]
[Pages 56263-56264]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-21095]


-----------------------------------------------------------------------

DEPARTMENT OF THE TREASURY

Internal Revenue Service


Proposed Collection; Comment Request for Form 10574

AGENCY: Internal Revenue Service (IRS), Treasury.

ACTION: Notice and request for comments.

-----------------------------------------------------------------------

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 10574, Community Based Outlet Program.

DATES: Written comments should be received on or before November 19, 
2004 to be assured of consideration.

ADDRESSES: Direct all written comments to Paul H. Finger, Internal 
Revenue Service, Room 6512, 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 6516, 1111 Constitution Avenue NW.,

[[Page 56264]]

Washington, DC 20224, or at (202) 622-3945, or through the internet at 
[email protected].

SUPPLEMENTARY INFORMATION:
    Title: Community Based Outlet Program.
    OMB Number: 1545-1753.
    Form Number: Form 10574.
    Abstract: Form 10574 will be used by both internal and external 
customers to provide contact information for follow up by Community 
Based Outlet Program (CBOP) representatives. The form may be utilized 
as an order blank or as a request for additional information. The form 
will indicate to the customer service representatives what products the 
customer wants to receive or the subject matter of additional 
information. The form would be returned to the CBOP analyst by fax or 
mail for appropriate action.
    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: Business or other for-profit organizations, and 
state, local, or tribal governments.
    Estimated Number of Responses: 25.
    Estimated Time Per Response: 5 minutes.
    Estimated Total Annual Burden Hours: 2.
    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: September 13, 2004.
Paul H. Finger,
IRS Reports Clearance Officer.
[FR Doc. 04-21095 Filed 9-17-04; 8:45 am]
BILLING CODE 4830-01-P