Approved with the change to page 7 of the instructions submitted on July 25th and the deletion of the reference to OMB in the Privacy and Paperwork Act Notice on page 5 of the instructions. You may omit printing the expiration date on this form and you may continue to use prior versions of this form. 09/01. Approved with revisions to cover to page 15 of the instruction submitted 8/31.
Inventory as of this Action
Requested
Previously Approved
07/31/1997
07/31/1997
07/31/1996
29,327,171
0
27,627,171
38,929,046
0
34,234,261
0
0
0
THIS FORM IS USED BY CERTAIN SINGLE INDIVIDUALS TO REPORT THEIR INCOME SUBJECT TO INCOME TAX AND TO COMPUTE THEIR CORRECT TAX LIABILIT THE DATA IS ALSO USED TO VERIFY THAT THE ITEMS REPORTED ON THE FORM ARE CORRECT AND ARE ALSO FOR GENERAL STATISTICS USE.
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.