This form is
used by individual and other taxpayers. The portion of the burden
imposed on individual taxpayers is approved under OMB Control
Number 1545-0074. In its next submission under this OMB Control
Number, the agency is instructed to ensure that the estimate of
burden associated with this Control Number includes only the burden
imposed on non-individual taxpayers. If the agency finds that the
current burden estimate includes burden imposed on individual
taxpayers, it must immediately submit an adjustment request that
eliminates this double-counting.
Inventory as of this Action
Requested
Previously Approved
09/30/2009
36 Months From Approved
09/30/2006
19,814
0
19,814
71,925
0
71,925
0
0
0
Schedule H (Form 1040) is used by
individuals to report their employment taxes. The data is used to
verify that the items reported on the form is correct and also for
general statistical 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.