SUPPORTING STATEMENT--hospital questionnaire

SUPPORTING STATEMENT--hospital questionnaire.doc

Tax Exempt Hospitals Compliance Check Questionnaire

OMB: 1545-2015

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SUPPORTING STATEMENT



  1. CIRCUMSTANCES NECESSITATING COLLECTION OF INFORMATION


This information collection is needed to ascertain the various methods and the extent to which nonprofit hospitals meet the community benefit requirement for tax-exempt status under 26 USC 501(c)(3) and how such hospitals set compensation of their officers, directors, trustees and key employees.


  1. USE OF DATA


The data collected through this Questionnaire will be utilized by the Tax Exempt and Government Entities division of the Internal Revenue Service (Service, or ‘the agency’) to learn about the contemporary operation of tax exempt hospitals and determine where additional guidance or enforcement activity, if any, is warranted on the part of the Service.


  1. USE OF IMPROVED INFORMATION TECHNOLOGY TO REDUCE BURDEN


IRS Publications, Regulations, Notices and Letter are to be electronically enabled on an as practicable basis in accordance with the IRS Reform and Restructuring Act of 1998.


  1. EFFORTS TO IDENTIFY DUPLICATION


We have attempted to eliminate duplication within the agency wherever possible.


  1. METHODS TO MINIMIZE BURDEN ON SMALL BUSINESSES OR OTHER SMALL ENTITIES


Not applicable.


  1. CONSEQUENCES OF LESS FREQUENT COLLECTION ON FEDERAL PROGRAMS OR POLICY ACTIVITIES


Not applicable. Information will be collected only once, not periodically or annually.


  1. SPECIAL CIRCUMSTANCES REQUIRING DATA COLLECTION TO BE INCONSISTENCT WITH GUIDELINES IN 5 CFR 1320.5(d)(2)


Not applicable.



  1. CONSULTATION WITH INDIVIDUALS OUTSIDE OF THE AGENCY ON AVAILABILITY OF DATA, FREQUENCY OF COLLECTION, CLARITY OF INSTRUCTIONS AND FORMS, AND DATA ELEMENTS


We received no comments during the comment period in response to the Federal Register notice (71 FR 44774) dated August 7, 2006.


  1. EXPLANATION OF DECISION TO PROVIDE ANY PAYMENT OR GIFT TO RESPONDENTS


Not applicable.


  1. ASSURANCE OF CONFIDENTIALITY OF RESPONSES


Generally, tax returns and tax return information are confidential as required by 26 USC 6103.


  1. JUSTIFICATION OF SENSITIVE QUESTIONS


Not applicable.


  1. ESTIMATED BURDEN OF INFORMATION COLLECTION


It is estimated that compilation of the information requested by this Questionnaire and the subsequent completion of the Questionnaire will require an average of 12 hours per respondent. This results in a total burden of 6,540 hours. The Questionnaire requests information that should be maintained by and readily available to each respondent, although (particularly with respect to organizationally larger respondents) the information may not be maintained in a single, centralized office and may instead need to be compiled from different divisions or departments within the respondent’s organization.


Estimates of the annualized cost to respondents for the hour burdens shown are not available at this time.


  1. ESTIMATED TOTAL ANNUAL COST BURDEN TO RESPONDENTS


As suggested by OMB, our Federal Register notice (71 FR 44774), dated August 7, 2006, requested public comments on estimates of cost burden that are not captured in the estimates of burden hours, i.e., estimates of capital or start-up costs and costs of operation, maintenance and purchase of services to provide information. However, we did not receive any response from taxpayers on this subject. As a result, estimates of the cost burdens are not available at this time.


  1. ESTIMATED ANNUALIZED COST TO THE FEDERAL GOVERNMENT


Not applicable.


  1. REASONS FOR CHANGE IN BURDEN


There is no change in the paperwork burden previously approved by OMB. We are making this submission to renew the OMB approval.


  1. PLANS FOR TABULATION, STATISTICAL ANALYSIS AND PUBLICATION


Not applicable.


  1. REASONS WHY DISPLAYING THE OMB EXPIRATION DATE IS INAPPROPRIATE


Not applicable.


  1. EXCEPTIONS TO THE CERTIFICATION STATEMENT ON OMB FORM 83-I


Not applicable.

File Typeapplication/msword
File TitleSUPPORTING STATEMENT
AuthorGeoff Campbell
Last Modified ByJ11FB
File Modified2006-10-10
File Created2006-10-10

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