The agency is
not required to display the expiration date.
Inventory as of this Action
Requested
Previously Approved
05/31/2000
05/31/2000
06/30/1997
30,000
0
30,000
42,600
0
42,300
0
0
0
This form is used by foreign
governments and international organizations, with certain types of
investments in the United States, to file with withholding agents
to obtain exemption from withholding under Code section 892. The
withholding agent uses the information to determine the appropriate
withholding, if any.
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.