This request for
clearance is approved for use through 6/30/82. Consider using a
National IRS form to collect this information. If yo decide to
resubmit this form provide detailed explanation as to why yo cannot
use the National form.
Inventory as of this Action
Requested
Previously Approved
06/30/1982
06/30/1982
5,000
0
0
500
0
0
0
0
0
IF A TAXPAYER TIMELY FILES A CLAIM FOR
REFUND AND EITHER INFORMATION IS MISSING FROM THE CLAIM (E.G., A
MISSING SIGNATURE) OR ADDITIONAL INFORMATION IS NEEDED (E.G.,
DOCUMENTATION OR SUBSTANTIATION), LETTER FL-1957 IS NEEDED TO
REQUEST THE INFORMATION. THE INFORMATION OBTAINE IS USED TO ALLOW
THE PROCESSING OF THE CLAIM.
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.