[Federal Register Volume 80, Number 10 (Thursday, January 15, 2015)]
[Notices]
[Pages 2181-2182]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-00477]


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

DEPARTMENT OF THE TREASURY

Internal Revenue Service


Proposed Collection: Comment Request for Form 4669

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 4669, Statement of Payments Received.

DATES: Written comments should be received on or before March 16, 2015 
to be assured of consideration.

ADDRESSES: Direct all written comments to Christie Preston, Internal 
Revenue Service, Room 6129, 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 Kerry Dennis 
at Internal Revenue Service, Room 129, 1111 Constitution Avenue NW., 
Washington DC 20224, or through the internet, at [email protected].

SUPPLEMENTARY INFORMATION:
    Title: Statement of Payments Received.
    OMB Number: 1545-XXXX.
    Form Number: 4669.
    Abstract: Form 4669 is used by payors in specific situations to 
request relief from payment of certain required taxes. A payor who 
fails to withhold certain required taxes from a payee may be entitled 
to relief, under sections 3402(d), 3102(f)(3), 1463 or Regulations 
section 1.1474-4. To apply for relief, a payor must show that the payee 
reported the payments and paid the corresponding tax. To secure relief 
as described above, a payor must obtain a separate, completed Form 4669 
from

[[Page 2182]]

each payee for each year relief is requested.
    Current Actions: Request for new OMB Control Number.
    Type of Review: Existing collection in use without an OMB number.
    Affected Public: Business or other for-profit organizations.
    Estimated Number of Respondents: 85,000.
    Estimated Time per Response: 15 minutes.
    Estimated Total Annual Burden Hours: 21,250.
    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: January 5, 2015.
Christie Preston,
IRS Reports Clearance Officer.
[FR Doc. 2015-00477 Filed 1-14-15; 8:45 am]
BILLING CODE 4830-01-P