Membership Applications for IRPAC, IRSAC, and ETACC (IRS Committee's), IRS Advisory Council, and Tax Check Waiver

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 12339-C Advisory Committee on Tax Exempt and Government Entities - Membership Application	Form	Modified	Available
Form 12339-B Information Reporting Program Advisory Committee Membership Application	Form	Modified	Available
Form 12339 Internal Revenue Service Advisory Council Membership Application	Form	Modified	Available
Form 13775 Tax Check Waiver	Form	Modified	Available
2018-05-15_SS_1545-1791r.doc	Supporting Statement A	Uploaded 2018-05-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
41119	Membership Applications for IRPAC, IRSAC, and ETACC (IRS Committee's), and IRS Advisory Council	Form	Modified	Advisory Committee on Tax Exempt and Government Entities - Membership Application
41119	Membership Applications for IRPAC, IRSAC, and ETACC (IRS Committee's), and IRS Advisory Council	Form	Modified	Information Reporting Program Advisory Committee Membership Application
41119	Membership Applications for IRPAC, IRSAC, and ETACC (IRS Committee's), and IRS Advisory Council	Form	Modified	Internal Revenue Service Advisory Council Membership Application
194648	Tax Check Waiver	Form	Modified	Tax Check Waiver

ICR Details

OMB Control No: 1545-1791	ICR Reference No: 201804-1545-006
Status: Historical Active	Previous ICR Reference No: 201502-1545-005
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Membership Applications for IRPAC, IRSAC, and ETACC (IRS Committee's), IRS Advisory Council, and Tax Check Waiver
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/31/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/24/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2021	36 Months From Approved	10/31/2018
Responses	550	0	550
Time Burden (Hours)	492	0	492
Cost Burden (Dollars)	0	0	0

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Abstract: The Federal Advisory Committee Act (FACA) requires that committee membership be fairly balanced in terms of points of view represented and the functions to be performed. As a result, members of specific committees often have both the expertise and professional skills that parallel the program responsibilities of their sponsoring agencies. In order to apply to be a member of the Internal Revenue Service Advisory Council (IRSAC), the Information Reporting Program Advisory Committee (IRPAC), Advisory Committee on Tax Exempt and Government Entities, or the Electronic Tax Administration Advisory Committee (ETAAC), applicants must submit a Membership Application. Selection of committee members is made based on the FACA's requirements and the potential member's background and qualifications. Therefore, an application is needed to ascertain the desired skills set for membership.The information will also be used to perform Federal Income Tax, FBI, and practitioner checks as required of all members and applicants to the Committees or Council. The tax check waiver permits the Internal Revenue Service (IRS) to release information about the applicant which would otherwise be confidential. This information will be used in connection with my application for appointment to membership in one of the IRS Advisory Committee/Council. It is necessary for the purpose of ensuring that all panel members are tax compliant. Information provided will be used to qualify or disqualify individuals to serve as panel members. The information will be used as appropriate by the Taxpayer Advocate service staff, and other appropriate IRS personnel.

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Authorizing Statute(s): PL: Pub.L. 92 - 463 1 Name of Law: Federal Advisory Committee Act
  

Citations for New Statutory Requirements: None

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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
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 14106	04/02/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 35056	07/24/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Membership Applications for IRPAC, IRSAC, and ETACC (IRS Committee's), and IRS Advisory Council	12339-B, 12339, 12339-C	Internal Revenue Service Advisory Council Membership Application ,   Information Reporting Program Advisory Committee Membership Application ,   Advisory Committee on Tax Exempt and Government Entities - Membership Application
Tax Check Waiver	13775	Tax Check Waiver

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ICR Summary of Burden

table that charts list 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	550	550	0	0	0	0
Annual Time Burden (Hours)	492	492	0	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:

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Annual Cost to Federal Government: $500

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 07/24/2018

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