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.
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.