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Federal forms, ICRs, and supporting documents

Information Collection Request

INTEREST ON HOSPITAL INSURANCE TAXES ON WAGES OF STATE AND LOCAL GOVERNMENT EMPLOYEES LR-47-86 NPRM LR-46-86 TEMP.

ICR 198607-1545-003 · OMB 1545-0256 · Historical Active

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IC IDCollectionTypeStatusForm
129572 INTEREST ON HOSPITAL INSURANCE TAXES ON WAGES OF STATE AND LOCAL GOVERNMENT EMPLOYEES LR-47-86 NPRM LR-46-86 TEMP. Form Migrated
ICR Details
1545-0256 198607-1545-003
Historical Active 198504-1545-005
TREAS/IRS
INTEREST ON HOSPITAL INSURANCE TAXES ON WAGES OF STATE AND LOCAL GOVERNMENT EMPLOYEES LR-47-86 NPRM LR-46-86 TEMP.
Revision of a currently approved collection   No
Regular
Approved without change 07/23/1986
Retrieve Notice of Action (NOA) 07/16/1986
  Inventory as of this Action Requested Previously Approved
03/31/1988 03/31/1988 03/31/1988
1,010,000 0 1,064,500
692,186 0 685,665
0 0 0
STATE AND LOCAL GOVERNMENT EMPLOYERS REQUESTING ON INTEREST-FREE ADJUSTMENT OF THE HOSPITAL INSURANCE TAXES ARE REQUIRED TO ATTACH A WRITTEN STATEMENT EXPLAINING THE ADJUSTMENT AND SPECIFYING THE RETURN PERIODS TO WHICH IT RELATES. THE INFORMATION IS NECESSARY TO DETERMINE ELIGIBILITY FOR THE ADJUSTMENT AND TO UPDATE OUR RECORDS.
None
None
No
1
IC Title Form No. Form Name
INTEREST ON HOSPITAL INSURANCE TAXES ON WAGES OF STATE AND LOCAL GOVERNMENT EMPLOYEES LR-47-86 NPRM LR-46-86 TEMP. 941C, 941C PR
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,010,000 1,064,500 0 0 -54,500 0
Annual Time Burden (Hours) 692,186 685,665 0 0 6,521 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/16/1986