[Federal Register Volume 70, Number 62 (Friday, April 1, 2005)]
[Notices]
[Pages 16893-16894]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E5-1472]


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DEPARTMENT OF THE TREASURY

Internal Revenue Service


Proposed Collection; Comment Request for Form 12884

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 12884, Survey Questionnaire.

DATES: Written comments should be received on or before May 31, 2005 to 
be assured of consideration.

ADDRESSES: Direct all written comments to Glenn Kirkland, Internal 
Revenue Service, room 6516, 1111 Constitution Avenue NW., Washington, 
DC 20224.

FOR FURTHER INFORMATION CONTACT: Requests for additional information or 
copies of the forms and instructions should be directed to Allan 
Hopkins, at (202) 622-6665, or at Internal Revenue Service, room 6516, 
1111 Constitution Avenue NW., Washington, DC 20224, or through the 
Internet, at [email protected].

SUPPLEMENTARY INFORMATION:
    Title: Survey Questionnaire.
    OMB Number: 1545-1922.
    Form Number: Form 12884.
    Abstract: This form will be completed by applicants to collect 
statistical data regarding advertising media and to collect RNO 
information that is recorded in the TIMIS database for EEO statistics 
and reporting.
    Current Actions: This is a new collection.
    Type of Review: This is a new collection.

[[Page 16894]]

    Affected Public: Individuals and households and Federal Government.
    Estimated Number of Respondents: 33,085.
    Estimated Time Per Respondent: 5 minutes.
    Estimated Total Annual Burden Hours: 2,757.
    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: March 28, 2005.
Glenn Kirkland,
IRS Reports Clearance Officer.
[FR Doc. E5-1472 Filed 3-31-05; 8:45 am]
BILLING CODE 4830-01-P