Approved with
the revisions dated August 15, 1990 to page one of the form. 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
08/31/1993
08/31/1993
10/31/1990
181,789
0
168,680
956,210
0
887,257
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.