Irs Form 12095 - Download as PDF
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Irs Form 12095 document sample
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Federal Register / Vol. 75, No. 97 / Thursday, May 20, 2010 / Notices 28321
Operations, M–30, West Building DEPARTMENT OF THE TREASURY Respondents: State, Local, and Tribal
Ground Floor, Room W12–140, 1200 Governments.
New Jersey Avenue, SE., Washington, Submission for OMB Review; Estimated Total Burden Hours: 2,713
DC 20590. The Docket Section is open Comment Request hours.
on weekdays from 10 a.m. to 5 p.m. May 13, 2010 OMB Number: 1535–0127.
except Federal Holidays. The Department of Treasury will Type of Review: Extension without
c. Electronically: By logging onto the submit the following public information change of a currently approved
Federal Docket Management System collection requirement(s) to OMB for collection.
review and clearance under the Title: Offering of U.S. Mortgage
(FDMS) website at http://
Paperwork Reduction Act of 1995, Guaranty Insurance Company Tax and
www.regulations.gov/. Follow the online
Public Law 104–13, on or after the Loss Bonds.
instructions for submitting comments. Form: CFR Part 343.
Comments may also be faxed to 1–202– publication date of this notice. Copies of
the submission(s) may be obtained by Abstract: Regulations governing the
493–2251. issue, reissue, and redemption of U.S.
calling the Treasury Bureau Clearance
Comments must be written in the Officer listed. Comments regarding this Mortgage Guaranty Insurance Company
English language, and be no greater than information collection should be Tax and Loss Bonds.
15 pages in length, although there is no addressed to the OMB reviewer listed Respondents: Private Sector:
limit to the length of necessary and to the Treasury Department Businesses or other for-profits.
attachments to the comments. If Clearance Officer, Department of the Estimated Total Burden Hours: 20
comments are submitted in hard copy Treasury, Room 11000, 1750 hours.
form, please ensure that two copies are Pennsylvania Avenue, NW., Clearance Officer: Bruce Sharpe,
provided. If you wish to receive Washington, DC 20220. Bureau of the Public Debt, 200 Third
confirmation that your comments were DATES: Written comments should be
Street, Parkersburg, West Virginia
received, please enclose a stamped, self- received on or before June 21, 2010 to 26106; (304) 480–8150.
be assured of consideration. OMB Reviewer: Shagufta Ahmed,
addressed postcard with the comments.
Office of Management and Budget, New
Note that all comments received will be Bureau of Public Debt (BPD) Executive Office Building, Room 10235,
posted without change to http://
OMB Number: 1535–0023. Washington, DC 20503; (202) 395–7873.
www.regulations.gov, including any
Type of Review: Extension without Celina Elphage,
personal information provided.
change of a currently approved
Documents submitted to a docket may Treasury PRA Clearance Officer.
collection.
be viewed by anyone at the address and [FR Doc. 2010–12094 Filed 5–19–10; 8:45 am]
Title: Request To Reissue United
times given above. The documents may States Savings Bonds. BILLING CODE 4810–39–P
also be viewed on the Internet at Form: PD F 4000.
http://www.regulations.gov by following Abstract: Form is used by owners to
identify the securities involved and to DEPARTMENT OF THE TREASURY
the online instructions for accessing the
dockets. DOT’s complete Privacy Act establish authority to reissue them.
Respondents: Individuals or Submission for OMB Review;
Statement is available for review in the Comment Request
Federal Register published on April 11, Households.
Estimated Total Burden Hours: May 13, 2010.
2000, (65 FR 19477–78). 270,000 hours. The Department of Treasury will
The petition, supporting materials, OMB Number: 1535–0062. submit the following public information
and all comments received before the Type of Review: Revision of a collection requirement(s) to OMB for
close of business on the closing date currently approved collection. review and clearance under the
indicated below will be filed and will be Title: Special Bond of Indemnity By Paperwork Reduction Act of 1995,
considered. All comments and Purchaser of United States Savings Public Law 104–13 on or after the date
supporting materials received after the Bonds/Notes Involved in a Chain Letter of publication of this notice. Copies of
closing date will also be filed and will Scheme. the submission(s) may be obtained by
be considered to the extent possible. Form: PD F 2966.
Abstract: Used by the purchaser of calling the Treasury Bureau Clearance
When the petition is granted or denied, Officer listed. Comments regarding this
notice of the decision will be published savings bonds in a chain letter scheme
to request refund purchase price of the information collection should be
in the Federal Register pursuant to the addressed to the OMB reviewer listed
bonds.
authority indicated below. Respondents: Individuals or and to the Treasury Department
Comment closing date: June 21, 2010. Households. Clearance Officer, Department of the
Estimated Total Burden Hours: 320 Treasury, Room 11000, and 1750
Authority: 49 U.S.C. 30118, 30120: Pennsylvania Avenue, NW. Washington,
delegations of authority at CFR 1.50 and hours.
OMB Number: 1535–0092. DC 20220.
501.8.
Type of Review: Revision of a DATES: Written comments should be
Issued on: May 12, 2010. received on or before June 21, 2010 to
wwoods2 on DSK1DXX6B1PROD with NOTICES_PART 1
currently approved collection.
Claude H. Harris, Title: Subscription For Purchase and be assured of consideration.
Director, Office of Vehicle Safety Compliance. Issue of U.S. Treasury Securities— State
Financial Management Service (FMS)
[FR Doc. 2010–12057 Filed 5–19–10; 8:45 am] and Local Government Series.
Form: PD–F–4144, 4144–1, 4144–2, OMB Number: 1510–0007.
BILLING CODE 4910–59–P
4144–5, 4144–6, 4144–7. Type of Review: Extension without
Abstract: The information is change of a currently approved
necessary to establish the accounts for collection.
owners of securities of State and Local Title: Direct Deposit Sign-Up Form
Government Series. and Go Direct Sign Up Form.
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28322 Federal Register / Vol. 75, No. 97 / Thursday, May 20, 2010 / Notices
Form: SF–1199A, FMS 1200. 5578, Annual Certification of Racial be summarized and/or included in the
Abstract: The Direct Deposit Sign-Up Nondiscrimination for a Private School request for OMB approval. All
Form is used by recipients to authorize Exempt from Federal Income Tax. comments will become a matter of
the deposit of Federal payments into DATES: Written comments should be public record. Comments are invited on:
their accounts at financial institutions. received on or before July 19, 2010 to be (a) Whether the collection of
The information is used to route the assured of consideration. information is necessary for the proper
Direct Deposit payment to the correct ADDRESSES: Direct all written comments performance of the functions of the
account at the correct financial to Gerald Shields, Internal Revenue agency, including whether the
institution. It identifies persons who Service, room 6129, 1111 Constitution information shall have practical utility;
have executed the form. Avenue, NW., Washington, DC 20224. (b) the accuracy of the agency’s estimate
Respondents: Individuals and of the burden of the collection of
FOR FURTHER INFORMATION CONTACT:
Households. information; (c) ways to enhance the
Estimated Total Burden Hours: 69,142 Requests for additional information or
quality, utility, and clarity of the
hours. copies of the form and instructions
information to be collected; (d) ways to
should be directed to Joel Goldberger, at
OMB Number: 1510–0066. minimize the burden of the collection of
Type of Review: Extension without (202) 927–9368, or at Internal Revenue
information on respondents, including
change of a currently approved Service, Room 6129, 1111 Constitution
through the use of automated collection
collection. Avenue, NW., Washington, DC 20224,
techniques or other forms of information
Title: 31 CFR Part 208—Management; or through the Internet, at
technology; and (e) estimates of capital
Final Rule. Joel.P.Goldberger@irs.gov.
or start-up costs and costs of operation,
Abstract: This regulation requires that SUPPLEMENTARY INFORMATION: maintenance, and purchase of services
most Federal payments be made by Title: Annual Certification of Racial to provide information.
Electronic Funds Transfer (EFT); sets Nondiscrimination for a Private School
Approved: May 5, 2010.
forth waiver requirements; and provides Exempt from Federal Income Tax.
OMB Number: 1545–0213. Gerald Shields,
for a low-cost Treasury-designated
account to individuals at a financial Form Number: Form 5578. IRS Reports Clearance Officer.
institution that offers such accounts. Abstract: Every organization that [FR Doc. 2010–12035 Filed 5–19–10; 8:45 am]
Respondents: Private Sector: claims exemption from Federal income BILLING CODE 4830–01–P
Businesses or other for-profits. tax under Internal Revenue Code section
Estimated Total Burden Hours: 325 501(c)(3) and that operates, supervises,
hours. or controls a private school must file a DEPARTMENT OF THE TREASURY
Bureau Clearance Officer: Wesley certification of racial nondiscrimination.
Powe, Financial Management Service, Such organizations, if they are not Internal Revenue Service
3700 East West Highway, Room 135, required to file Form 990, must provide [EE–12–78]
Hyattsville, MD 20782; (202) 874–7662. the certification on Form 5578. The
OMB Reviewer: Shagufta Ahmed, Internal Revenue Service uses the Proposed Collection; Comment
Office of Management and Budget, New information to help ensure that the Request for Regulation Project
Executive Office Building, Room 10235, school is maintaining
AGENCY: Internal Revenue Service (IRS),
Washington, DC 20503; (202) 395–7873. nondiscriminatory policy in keeping
Treasury.
with its exempt status.
Celina Elphage, ACTION: Notice and request for
Current Actions: There are no changes
Treasury PRA Clearance Officer. being made to the form at this time. comments.
[FR Doc. 2010–12095 Filed 5–19–10; 8:45 am] Type of Review: Extension of a SUMMARY: The Department of the
BILLING CODE 4830–01–P currently approved collection. Treasury, as part of its continuing effort
Affected Public: Not-for-profit to reduce paperwork and respondent
institutions. burden, invites the general public and
DEPARTMENT OF THE TREASURY Estimated Number of Respondents: other Federal agencies to take this
1,000. opportunity to comment on proposed
Internal Revenue Service Estimated Time per Respondent: 3
and/or continuing information
hours, 44 minutes.
Proposed Collection; Comment collections, as required by the
Estimated Total Annual Burden
Request for Form 5578 Paperwork Reduction Act of 1995,
Hours: 3,730.
The following paragraph applies to all Public Law 104–13 (44 U.S.C.
AGENCY: Internal Revenue Service (IRS),
of the collections of information covered 3506(c)(2)(A)). Currently, the IRS is
Treasury.
by this notice: soliciting comments concerning an
ACTION: Notice and request for existing final regulation, EE–12–78 (TD
comments. An agency may not conduct or
sponsor, and a person is not required to 7611) Nonbank Trustees (§ 1.408–2(e)).
SUMMARY: The Department of the respond to, a collection of information DATES: Written comments should be
Treasury, as part of its continuing effort unless the collection of information received on or before July 19, 2010 to be
to reduce paperwork and respondent displays a valid OMB control number. assured of consideration.
wwoods2 on DSK1DXX6B1PROD with NOTICES_PART 1
burden, invites the general public and Books or records relating to a collection ADDRESSES: Direct all written comments
other Federal agencies to take this of information must be retained as long to Gerald Shields, Internal Revenue
opportunity to comment on proposed as their contents may become material Service, Room 6129, 1111 Constitution
and/or continuing information in the administration of any internal Avenue, NW., Washington, DC 20224.
collections, as required by the revenue law. Generally, tax returns and FOR FURTHER INFORMATION CONTACT:
Paperwork Reduction Act of 1995, tax return information are confidential, Requests for additional information or
Public Law 104–13 (44 U.S.C. as required by 26 U.S.C. 6103. copies of the information collection
3506(c)(2)(A)). Currently, the IRS is Request for Comments: Comments should be directed to Allan Hopkins, at
soliciting comments concerning Form submitted in response to this notice will (202) 622–6665, or at Internal Revenue
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