Approved with
the understanding that a revised version of the payment voucher and
instructions together with a complete description of the planned
test will be submitted for OMB review via an information correction
worksheet before use. You may continue to omit printing the
expiration data on this form. Also, you may continue to use prior
versions of this form. 09/27/93, the instructions for the Form 1040
Payment Voucher are approved as submitted on 09/23/93.
Inventory as of this Action
Requested
Previously Approved
09/30/1996
09/30/1996
09/30/1995
228,799,135
0
210,447,030
1,119,587,324
0
1,115,890,990
0
0
0
THIS FORM IS USED BY INDIVIDUALS TO
REPORT THEIR INCOME TAX AND COMPUT THEIR CORRECT TAX LIABILITY. THE
DATA IS USED TO VERIFY THAT THE ITEM REPORTED ON THE FORM ARE
CORRECT AND ARE ALSO FOR GENERAL STATISTICAL USE.
R, SE, 1040 &, SCHED. A, B, C, C-EZ, D, E, EIC, F,
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
228,799,135
210,447,030
0
1,423,614
16,928,491
0
Annual Time Burden (Hours)
1,119,587,324
1,115,890,990
0
286,733
3,409,601
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Yes
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.