You may omit
printing the expiration date on this form. Also, you may continue
to use previous versions of this form.
Inventory as of this Action
Requested
Previously Approved
10/31/1990
10/31/1990
10/31/1987
168,680
0
168,680
537,698
0
537,698
0
0
0
THIS FORM IS USED BY U.S. CITIZENS AND
RESIDENT ALIENS WHO QUALIFY FOR THE FOREIGN EARNED INCOME EXCLUSION
AND/OR THE FOREIGN HOUSING EXCLUSION OR DEDUCTION. THIS INFORMATION
IS USED BY THE SERVICE TO DETERMINE IF A TAXPAYER QUALIFIES FOR THE
EXCLUSION(S) OR DEDUCTION.
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.