COMPUTATION OF SOCIAL SECURITY TAX ON UNREPORTED TIP INCOME

ICR 198107-1545-041

OMB: 1545-0059

Federal Form Document

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ICR Details
1545-0059 198107-1545-041
Historical Active 198104-1545-059
TREAS/IRS
COMPUTATION OF SOCIAL SECURITY TAX ON UNREPORTED TIP INCOME
Revision of a currently approved collection   No
Regular
Approved without change 08/28/1981
Retrieve Notice of Action (NOA) 07/30/1981
Any request for extension of this approval must be accompanied by an statement indicated which, if any,data elements are not entered into the IRS computers. Before submitting an extension request, the Department is to analyize the impact on the collection of the revenue if data elements not entered into the computer were deleted from the form. The results of that analysis are to be submitted as part of the supporting statement for the request.
  Inventory as of this Action Requested Previously Approved
11/30/1982 11/30/1982 11/30/1982
73,000 0 55,000
55,000 0 41,000
0 0 0

IRC SECTION 3102 REQUIRES EMPLOYEES WHO RECEIVE TIPS SUBJECT TO FICA TAX, BUT FAILED TO REPORT THEM TO HIS/HER EMPLOYER, TO COMPUTE TA DUE ON SUCH TIPS. THE DATA IS USED TO HELP VERIFY THAT THE FICA TAX O TIP INCOME IS CORRECTLY COMPUTED.

None
None


No

1
IC Title Form No. Form Name
COMPUTATION OF SOCIAL SECURITY TAX ON UNREPORTED TIP INCOME 4137

  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 73,000 55,000 0 18,000 0 0
Annual Time Burden (Hours) 55,000 41,000 0 14,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
07/30/1981


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