Form 8935 - Airplane Payments Report

Forms and Documents

Document Name	Status
Form 8935 Form 8935 - Airplane Payments Report Form	New
Emergency Justification Memorandum.doc Justification for No Material/Nonsubstantive Change	2009-02-23
PL 110-458.pdf Supplementary Document	2009-02-23
Supporting Statement.pdf Supporting Statement A	2009-02-23

IC Document Collections

IC ID	Document Title	Status
188134	Form 8935 - Airplane Payments Report Form	New

ICR Details

OMB Control No: 1545-2140	ICR Reference No: 200902-1545-014
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: TREAS/IRS	Agency Tracking No: Rquest approval by 2/27/2009
Title: Form 8935 - Airplane Payments Report
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 02/27/2009
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/03/2009
	Date Received in OIRA: 02/23/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2009	6 Months From Approved
Responses	20	0	0
Time Burden (Hours)	32	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Form 8935 will provide to the employee, current or former, the amount of the payment that was received from the airline that is eligible for rollover treatment into a Roth IRA

Emergency Justfication: Section 125 of PL 110-458 requires that airline carriers report within 90 days of making airline payments amounts, or if later, within 90 days of the date of enactment of the Act, to the Secretary of the Treasury and to the qualified airlines employees, the information required by the Act. Airlines will be required to report these amounts by March 23, 2009. Without the availability of this form taxpayers will not be able to determine the amount of money received from a commercial passenger airline carrier that a qualified employee (current or former) is eligible to roll into a Roth IRA. Therefore, it is critical we make this form available as soon as possible, prior to the March deadline.

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Authorizing Statute(s): PL: Pub.L. 110 - 458 125 Name of Law: WORKER, RETIREE, AND EMPLOYER RECOVERY ACT OF 2008
  

Citations for New Statutory Requirements: PL: Pub.L. 110 - 458 125 Name of Law: WORKER, RETIREE, AND EMPLOYER RECOVERY ACT OF 2008

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Form 8935 - Airplane Payments Report	8935	Airplane Payments Report

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ICR Summary of Burden

	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	20	0	20	0	0	0
Annual Time Burden (Hours)	32	0	32	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new form. Form 8935 will provide to the employee, current or former, the amount of the payment that was received from the airline that is eligible for rollover treatment into a Roth IRA.

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Annual Cost to Federal Government: $5,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/23/2009

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