The agency is
not required to display the expiration date.
Inventory as of this Action
Requested
Previously Approved
06/30/2004
06/30/2004
07/31/2001
26,000
0
26,000
153,920
0
143,260
0
0
0
Form 966 is filed by a corporation
whose shareholders have agreed to liquidate the corporation. As a
result of the liquidation, the shareholders receive the property of
the corporation in exchange for their stock. The IRS uses Form 966
to determine if the liquidation election was properly made and if
any taxes are due on the transfer of property.
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.