COMPUTATION OF CREDIT FOR FEDERAL TAX ON GASOLINE, SPECIAL FUELS, AND LUBRICATING OIL

ICR 198107-1545-053

OMB: 1545-0162

Federal Form Document

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ICR Details
1545-0162 198107-1545-053
Historical Active 198104-1545-162
TREAS/IRS
COMPUTATION OF CREDIT FOR FEDERAL TAX ON GASOLINE, SPECIAL FUELS, AND LUBRICATING OIL
Revision of a currently approved collection   No
Regular
Approved without change 09/11/1981
Retrieve Notice of Action (NOA) 07/31/1981
THIS IS A CONDITIONAL APPROVAL. PLEASE SUBMIT AN ADDENDUM TO THE SUPPORTING STATEMENT THAT PROVIDES AN EXPLANATION FOR THE PROGRAM "SCHEDULE X DROPPED, DECREASING BURDEN BY Y HOURS." THE ADDENDUM IS DUE WITHIN 6 MONTHS OF THE ABOVE APPROVAL DATE. UPON RECEIPT OF THE ADDENDUM THE APPROVAL WILL BE FINAL UNLESS YOU ARE NOTIFIED OTHERWISE.
  Inventory as of this Action Requested Previously Approved
09/30/1984 09/30/1984 12/31/1981
1,697,000 0 1,652,000
1,307,000 0 1,225,000
0 0 0

IRC SECTION 39 REQUIRES CERTAIN INFORMATION IN ORDER TO CLAIM A CREDIT FOR FEDERAL EXCISE TAX ON CERTAIN GASOLINE, SPECIAL FUELS, AND LUBRICATING OIL USED. THIS FORM IS USED TO FIGURE THE AMOUNT OF CREDIT. DATA IS USED TO VERIFY OF CLAIM.

None
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No

1
IC Title Form No. Form Name
COMPUTATION OF CREDIT FOR FEDERAL TAX ON GASOLINE, SPECIAL FUELS, AND LUBRICATING OIL 4136

  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 1,697,000 1,652,000 0 0 45,000 0
Annual Time Burden (Hours) 1,307,000 1,225,000 0 0 82,000 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.
07/31/1981


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