CERTIFICATION AND ELECTION FORM

ICR 198906-1545-025

OMB: 1545-0230

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
170369 Migrated
ICR Details
1545-0230 198906-1545-025
Historical Active 198904-1545-018
TREAS/IRS
CERTIFICATION AND ELECTION FORM
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/13/1989
Approved with change 06/13/1989
Retrieve Notice of Action (NOA) 06/13/1989
  Inventory as of this Action Requested Previously Approved
03/31/1991 03/31/1991 03/31/1991
450 0 450
2,381 0 2,381
0 0 0

FORM 6458 IS USED TO MAKE ELECTIONS AND CERTIFICATIONS UNDER THE CRUDE OIL WINDFALL PROFIT TAX ACT OF 1980. THE FORM IS USED BY PERSONS SEEKING TO HAVE AN EXEMPTION FORM, OR A SMALLER AMOUNT OF TAX APPLY TO THEM. IT IS ALSO USED BY PERSONS WHO DESIRE TO WITHHOLD THE TAX FROM THE PRODUCERS. THE FORM IS ALSO USED BY THE PERSONS LISTED ABOVE TO REVOKE THESE ELECTIONS.

None
None


No

1
IC Title Form No. Form Name
CERTIFICATION AND ELECTION FORM 6458

  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 450 450 0 0 0 0
Annual Time Burden (Hours) 2,381 2,381 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.
06/13/1989


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