Form 4070, Employee's Report on Tips to Employer, Form 4070A, Employee's Daily Record on Tips; Form 4070PR Informe al Patrono de Propinas Recibidas por el Empleado; Form 4070A-PR, Registra

ICR 200505-1545-008

OMB: 1545-0065

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1545-0065 200505-1545-008
Historical Active 200204-1545-007
TREAS/IRS
Form 4070, Employee's Report on Tips to Employer, Form 4070A, Employee's Daily Record on Tips; Form 4070PR Informe al Patrono de Propinas Recibidas por el Empleado; Form 4070A-PR, Registra
Revision of a currently approved collection   No
Regular
Approved without change 07/06/2005
Retrieve Notice of Action (NOA) 05/04/2005
  Inventory as of this Action Requested Previously Approved
07/31/2008 07/31/2008 07/31/2005
14,760,000 0 14,760,000
39,769,200 0 39,265,200
0 0 0

Employees who receive at least $20 per month in tips must report the tips to their employers monthly for purposes of withholding of employment taxes. Forms 4070 and 4070PR (Puerto Rico only) are used for this purpose. Employees must keep a daily record of tips they receive. Forms 4070A and 4070A-PR are used for this purpose.

None
None


No

  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 14,760,000 14,760,000 0 0 0 0
Annual Time Burden (Hours) 39,769,200 39,265,200 0 504,000 0 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.
05/04/2005


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