Tip Rate Determination Agreement (for use by employers in the food and beverage industry)

ICR 200103-1545-011

OMB: 1545-1715

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1545-1715 200103-1545-011
Historical Active 200012-1545-007
TREAS/IRS
Tip Rate Determination Agreement (for use by employers in the food and beverage industry)
Extension without change of a currently approved collection   No
Regular
Approved without change 05/17/2001
Retrieve Notice of Action (NOA) 03/19/2001
The agency is not required to display the expiration date.
  Inventory as of this Action Requested Previously Approved
05/31/2004 05/31/2004 06/30/2001
200 0 200
1,737 0 1,737
0 0 0

Information is required by the Internal Revenue Service in its tax compliance efforts to assist employers and their employees in understanding and complying with section 6053(a), which requires employees to report all their tips monthly to their employers.

None
None


No

1
IC Title Form No. Form Name
Tip Rate Determination Agreement (for use by employers in the food and beverage industry)

  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 200 200 0 0 0 0
Annual Time Burden (Hours) 1,737 1,737 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.
03/19/2001


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