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. In its next submission of this
information collection, the agency is instructed to confirm that
the Line of Business and Subfunction under the Federal Enterprise
Architecture Business Reference Module are indicated and
correct.
Inventory as of this Action
Requested
Previously Approved
10/31/2009
36 Months From Approved
10/31/2006
26,400
0
26,400
365,904
0
353,232
0
0
0
Employers who hire employees who live
and work in one of the 11 designated empowerment zones can receive
a tax credit for the first $15,000 of wages paid to each employee.
The credit is applicable from the date of designation through the
year 2004.
New line 11 and 12 were added
to the form which will result in a program change increase of
12,672 hours due to the addition of 2 lines.
$1,000
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Pamela Terembes 202
622-3752
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.