[Federal Register Volume 69, Number 233 (Monday, December 6, 2004)]
[Notices]
[Page 70506]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-26722]


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

DEPARTMENT OF THE TREASURY


Submission for OMB Review; Comment Request

November 23, 2004.
    The Department of the 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 January 5, 
2005 to be assured of consideration.

Internal Revenue Service (IRS)

    OMB Number: 1545-1753.
    Form Number: IRS Form 10574.
    Type of Review: Revision.
    Title: Community Based Outlet Program.
    Description: Form 10574 will be used by companies, businesses and 
government agencies to indicate their interest in participating in the 
IRS Community Based Outlet Program. This form will be returned to the 
CBOP analyst by fax or mail for appropriate action.
    Respondents: Business or other for-profit, State, Local or Tribal 
Government.
    Estimated Number of Respondents: 25.
    Estimated Burden Hours Respondent: 5 Minutes.
    Frequency of response: On occasion.
    Estimated Total Reporting Burden: 2 hours.
    Clearance Officer: R. Joseph Durbala, (202) 622-3634, Internal 
Revenue Service, Room 6516, 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.

Christopher Davis,
Treasury PRA Assistant.
[FR Doc. 04-26722 Filed 12-3-04; 8:45 am]
BILLING CODE 4830-01-P