FORM 4563 REFLECTS IRC SECTION 931 AND
REGULATIONS SECTION 1.931-1. USED BY A CITIZEN OF THE U.S. WHOSE
INCOME IS FROM SOURCES WITHIN A POSSESSTION OF THE U.S. TO THE
EXTENT SPECIFIED IN SECTION 931, TO CLAIM THE BENEFIT OF THAT
SECTION. THE INFORMATION OBTAINED IS USED TO DETERMINE IF THE
EXCLUSION IS VALID.
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.