COMPUTATION OF SOCIAL SECURITY TAX ON UNREPORTED TIP INCOME

ICR 198712-1545-012

OMB: 1545-0059

Federal Form Document

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Name
Status
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IC Document Collections
ICR Details
1545-0059 198712-1545-012
Historical Active 198503-1545-004
TREAS/IRS
COMPUTATION OF SOCIAL SECURITY TAX ON UNREPORTED TIP INCOME
Extension without change of a currently approved collection   No
Regular
Approved without change 02/23/1988
Retrieve Notice of Action (NOA) 12/18/1987
You may omit printing the expiration date on this form. You may continue to use previous versions of this form.
  Inventory as of this Action Requested Previously Approved
02/28/1991 02/28/1991 03/31/1988
76,000 0 76,000
51,301 0 51,301
0 0 0

SECTION 3102 REQUIRES AN EMPLOYEE WHO RECEIVES TIPS SUBJECT TO FICA TAX TO COMPUTE TAX DUE ON THESE TIPS IF THE EMPLOYEE DID NOT REPORT THEM TO HIS OR HER EMPLOYER. THE DATA IS USED TO HELP VERIFY THAT THE FICA TAX ON 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 76,000 76,000 0 0 0 0
Annual Time Burden (Hours) 51,301 51,301 0 0 0 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.
12/18/1987


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