Federal Register / Vol. 76, No. 70 / Tuesday, April 12, 2011 / Notices 20453 

The Kingpin Act blocks all property 

and interests in property, subject to U.S. 

jurisdiction, owned or controlled by 

significant foreign narcotics traffickers 

as identified by the President. In 

addition, the Secretary of the Treasury 

consults with the Attorney General, the 

Director of the Central Intelligence 

Agency, the Director of the Federal 

Bureau of Investigation, the 

Administrator of the Drug Enforcement 

Administration, the Secretary of 

Defense, the Secretary of State, and the 

Secretary of Homeland Security when 

designating and blocking the property or 

interests in property, subject to U.S. 

jurisdiction, of foreign persons found to 

be: (1) Materially assisting in, or 

providing financial or technological 

support for or to, or providing goods or 

services in support of, the international 

narcotics trafficking activities of a 

person designated pursuant to the 

Kingpin Act; (2) owned, controlled, or 

directed by, or acting for or on behalf of, 

a person designated pursuant to the 

Kingpin Act; or (3) playing a significant 

role in international narcotics 

trafficking. 

On March 30, 2011, the Director of 

OFAC removed from the SDN list the 

entity listed below, whose property and 

interests in property were blocked 

pursuant to the Kingpin Act: 

MERCURIO INTERNACIONAL S.A., 

Transversal 71D No. 26–94 Sur, Local 3504, 

Bogota, Colombia; Avenida Carrera 15 No. 

100–69, Oficina 303, Bogota, Colombia; 

Carrera 15 No. 93–60 Local 205, Bogota, 

Colombia; Calle 5 No. 50–103, Local C108, 

Cali, Colombia; Carrera 1 No. 61A–30, 

Locales 80 y 81, Cali, Colombia; Calle 19 No. 

6–48, Oficinas 403 y 404, Pereira, Colombia; 

Carrera 14 No. 18–56, Locales 34 y 35, Piso 

3, Armenia, Colombia; Carrera 43A No. 34– 

95, Local 253, Medellin, Colombia; Carrera 

54 No. 72–147, Local 144, Barranquilla, 

Colombia; NIT # 830063708–7 (Colombia) 

[SDNTK] 

Dated: March 30, 2011. 

Adam J. Szubin, 

Director, Office of Foreign Assets Control. 

[FR Doc. 2011–8678 Filed 4–11–11; 8:45 am] 

BILLING CODE 4810–AL–P 

DEPARTMENT OF THE TREASURY 

Internal Revenue Service 

Proposed Collection; Comment 

Request for Form 1040 and Schedules 

A, B, C, C–EZ, D, D–1, E, EIC, F, H, J, 

R, and SE, Form 1040A, Form 1040EZ, 

Form 1040NR, Form 1040NR–EZ, Form 

1040X, and All Attachments to These 

Forms 

AGENCY: Internal Revenue Service (IRS), 

Treasury. 

ACTION: Notice and request for 

comments. 

SUMMARY: The Internal Revenue Service, 

as part of its continuing effort to reduce 

paperwork and respondent burden, 

invites the general public and other 

Federal agencies to take this 

opportunity to comment on proposed 

and continuing information collections, 

as required by the Paperwork Reduction 

Act of 1995 (PRA), Public Law 104–13 

(44 U.S.C. 3506(c)(2)(A)). This notice 

requests comments on all forms used by 

individual taxpayers: Form 1040, U.S. 

Individual Income Tax Return, and 

Schedules A, B, C, C–EZ, D, D–1, E, EIC, 

F, H, J, R, and SE; Form 1040A; Form 

1040EZ; Form 1040NR; Form 1040NR– 

EZ; Form 1040X; and all attachments to 

these forms (see the Appendix to this 

notice). 

DATES: Written comments should be 

received on or before May 12, 2011 to 

be assured of consideration. 

ADDRESSES: This collection is available 

for comment on http:// 

www.PRAComment.gov. Comments may 

be made through the Web site 

electronically and anonymously. 

Respondents may also direct written 

comments to Shagufta Ahmed, Office of 

Management and Budget, New 

Executive Office Building, Room 10235, 

Washington, DC 20503; (202) 395–7873 

and to Yvette Lawrence, Internal 

Revenue Service, 1111 Constitution 

Avenue, NW., Washington, DC 20224; 

(202) 927–4374. 

FOR FURTHER INFORMATION CONTACT: 

Requests for additional information 

should be directed to Chief, 

RAS:R:TAM, NCA 7th Floor, Internal 

Revenue Service, 1111 Constitution 

Avenue, NW., Washington, DC 20224. 

SUPPLEMENTARY INFORMATION: 

PRA Approval of Forms Used by 

Individual Taxpayers 

Under the PRA, OMB assigns a 

control number to each ‘‘collection of 

information’’ that it reviews and 

approves for use by an agency. The PRA 

also requires agencies to estimate the 

burden for each collection of 

information. Burden estimates for each 

control number are displayed in (1) PRA 

notices that accompany collections of 

information, (2) Federal Register notices 

such as this one, and (3) OMB’s 

database of approved information 

collections. 

Taxpayer Burden Model 

The Individual Taxpayer Burden 

Model (ITBM) estimates burden 

experienced by individual taxpayers 

when complying with Federal tax laws 

and incorporates results from a survey 

of tax year 2007 individual taxpayers, 

conducted in 2008 and 2009. The 

approach to measuring burden focuses 

on the characteristics and activities 

undertaken by individual taxpayers in 

meeting their tax return filing 

obligations. 

Burden is defined as the time and outof-pocket costs incurred by taxpayers in 

complying with the Federal tax system 

and are estimated separately. Out-ofpocket costs include any expenses 

incurred by taxpayers to prepare and 

submit their tax returns. Examples 

include tax return preparation fees, the 

purchase price of tax preparation 

software, submission fees, photocopying 

costs, postage, and phone calls (if not 

toll-free). 

The methodology distinguishes 

among preparation method, taxpayer 

activities, taxpayer type, filing method, 

and income level. Indicators of tax law 

and administrative complexity, as 

reflected in the tax forms and 

instructions, are incorporated into the 

model. 

Preparation methods reflected in the 

model are as follows: 

• Self-prepared without software, 

• Self-prepared with software, and 

• Use of a paid preparer or tax 

professional. 

Types of taxpayer activities reflected 

in the model are as follows: 

• Recordkeeping, 

• Tax planning, 

• Gathering tax materials, 

• Use of services (IRS and other), 

• Form completion, and 

• Form submission (electronic and 

paper). 

Taxpayer Burden Estimates 

Summary level results using this 

methodology are presented in Table 1 

below. The data shown are the best 

forward-looking estimates available for 

income tax returns filed for tax year 

2010. Note that the estimates presented 

in this table differ from those published 

in the tax form instructions and 

publications. Revised estimates 

presented herein reflect legislation 

approved after the IRS Forms and 

Publications print deadline. 

Table 1 shows burden estimates by 

form type and type of taxpayer. Time 

burden is further broken out by taxpayer 

activity. The largest component of time 

burden for all taxpayers is 

recordkeeping, as opposed to form 

completion and submission. In addition, 

the time burden associated with form 

completion and submission activities is 

closely tied to preparation method. 

Both time and cost burdens are 

national averages and do not necessarily 


srobinson on DSKHWCL6B1PROD with NOTICES
20454 Federal Register / Vol. 76, No. 70 / Tuesday, April 12, 2011 / Notices 

reflect a ‘‘typical’’ case. For instance, the 

average time burden for all taxpayers 

filing a 1040, 1040A, or 1040EZ is 

estimated at 19 hours, with an average 

cost of $250 per return. This average 

includes all associated forms and 

schedules, across all preparation 

methods and all taxpayer activities. 

Taxpayers filing Form 1040 have an 

expected average burden of about 24 

hours and $310; the average burden for 

taxpayers filing Form 1040A is about 9 

hours and $130; and the average for 

Form 1040EZ filers is about 7 hours and 

$60. However, within each of these 

estimates, there is significant variation 

in taxpayer activity. Similarly, tax 

preparation fees vary extensively 

depending on the taxpayer’s tax 

situation and issues, the type of 

professional preparer, and the 

geographic area. 

The estimates include burden for 

activities up through and including 

filing a return but do not include burden 

associated with post-filing activities. 

However, operational IRS data indicate 

that electronically prepared and e-filed 

returns have fewer arithmetic errors, 

implying a lower associated post-filing 

burden. 

Proposed PRA Submission to OMB 

Title: U.S. Individual Income Tax 

Return. 

OMB Number: 1545–0074. 

Form Numbers: Form 1040 and 

Schedules A, B, C, C–EZ, D, D–1, E, EIC, 

F, H, J, R, and SE; Form 1040A; Form 

1040EZ; Form 1040NR; Form 1040NR– 

EZ, Form 1040X; and all attachments to 

these forms (see the Appendix to this 

notice). 

Abstract: These forms are used by 

individuals to report their income tax 

liability. The data is used to verify that 

the items reported on the forms are 

correct, and also for general statistical 

use. 

Current Actions: Changes in aggregate 

compliance burden estimates are 

explained in terms of three major 

components: Technical Adjustments, 

Statutory Changes, and Agency (IRS) 

Discretionary Changes and are 

presented in Table 2 below. 

Technical Adjustments 

Technical changes include 

refinements to the modeling 

methodology using the new survey data 

as well as the effects of the economic 

recovery and an increase in the number 

of taxpayers projected. 

Statutory Changes 

The primary drivers for the statutory 

changes are newly enacted legislation 

along with the expiration of many 

provisions of the American Recovery 

and Reinvestment Act of 2009. New 

legislation includes the Small Business 

Jobs Act of 2010; the Patient Protection 

and Affordable Care Act; the Tax Relief, 

Unemployment Insurance 

Reauthorization, and Job Creation Act of 

2010; and related legislations. 

IRS Discretionary Changes 

IRS discretionary changes include 

redesign of Form1040X, fees associated 

with new paid professional licensing 

requirements, changes in the delivery of 

form instructions and publications to 

taxpayers, and delayed filing resulting 

from late legislation. 

These changes have resulted in an 

overall increase of 270,000,000 total 

hours and $650,000,000 in taxpayer 

burden previously approved by OMB. 

Type of Review: Revision of currently 

approved collections. 

Affected Public: Individuals or 

households. 

Estimated Number of Respondents: 

146,700,000. 

Total Estimated Time: 2.701 billion 

hours (2,701,000,000 hours). 

Estimated Time per Respondent: 19 

hours. 

Total Estimated Out-of-Pocket Costs: 

$35.193 billion ($35,193,000,000). 

Estimated Out-of-Pocket Cost per 

Respondent: $250. 

An agency may not conduct or 

sponsor, and a person is not required to 

respond to, a collection of information 

unless the collection of information 

displays a valid OMB Control Number. 

Books or records relating to a 

collection of information must be 

retained as long as their contents may 

become material in the administration 

of any internal revenue law. Generally, 

tax returns and tax return information 

are confidential, as required by 26 

U.S.C. 6103. 

Request for Comments 

Comments submitted in response to 

this notice will be summarized and/or 

included in the request for OMB 

approval. All comments will become a 

matter of public record. Comments are 

invited on: (a) Whether the collection of 

information is necessary for the proper 

performance of the functions of the 

agency, including whether the 

information will have practical utility; 

(b) the accuracy of the agency’s estimate 

of the burden of the collection of 

information; (c) ways to enhance the 

quality, utility, and clarity of the 

information to be collected; (d) ways to 

minimize the burden of the collection of 

information on respondents, including 

through the use of automated collection 

techniques or other forms of information 

technology; and (e) estimates of capital 

or start-up costs and costs of operation, 

maintenance, and purchase of services 

to provide information. 

Robert Dahl, 

Treasury Departmental Clearance Officer. 

The average time and costs required 

to complete and file Form 1040, Form 

1040A, Form 1040EZ, their schedules, 

and accompanying forms will vary 

depending on individual circumstances. 

The estimated averages are: 

TABLE 1—ESTIMATED AVERAGE TAXPAYER BURDEN FOR INDIVIDUALS BY ACTIVITY

Primary form filed or 

type of taxpayer 

Percentage 

of returns 

Average time burden (hours) 

Total time* Record 

keeping 

Tax 

planning 

Form 

completion 

Form 

submission All other Average cost (dollars)**

All taxpayers—primary 

forms filed ................. 100 19.0 9.0 2.0 4.0 1.0 3.0 $250 

1040 ............................. 70 24.0 11.0 3.0 5.0 1.0 3.0 310 

1040A ........................... 19 9.0 3.0 1.0 2.0 1.0 1.0 130 

1040EZ ......................... 11 7.0 2.0 1.0 2.0 1.0 1.0 60 

Nonbusiness*** ............ 69 12.0 5.0 2.0 3.0 1.0 2.0 160 

Business*** .................. 31 34.0 18.0 4.0 6.0 1.0 4.0 430 

* Detail may not add to total time due to rounding. 

** Dollars rounded to the nearest $10. 

*** You are considered a ‘‘business’’ filer if you file one or more of the following with Form 1040: Schedule C, C–EZ, E, or F or Form 2106 or 

2106–EZ. You are considered a ‘‘nonbusiness’’ filer if you did not file any of those schedules or forms with Form 1040 or if you file Form 1040A 

or 1040EZ. 


srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 76, No. 70 / Tuesday, April 12, 2011 / Notices 20455 

Note: Estimates presented in this table differ from those published in the tax forms and publications. Revised estimates presented herein reflect legislation approved after the IRS Forms and Publications print deadline. 

TABLE 2—ICB ESTIMATES FOR THE 1040/A/EZ/NR/NR–EZ/X SERIES OF RETURNS AND SUPPORTING FORMS AND

SCHEDULES

FY 2011 

Previously 

approved 

FY10 

Program change 

due to 

adjustment 

Program change 

due to 

new legislation 

Program change 

due to 

agency 

FY11 

Number of Taxpayers ............................ 143,400,000 3,300,000 .............................. .............................. 146,700,000 

Burden in Hours ..................................... 2,431,000,000 292,000,000 (25,000,000) 3,000,000 2,701,000,000 

Burden in Dollars ................................... 31,543,000,000 3,986,000,000 (370,000,000) 34,000,000 35,193,000,000 

Note: Estimates presented in this table differ from those published in the tax forms and publications. Revised estimates presented herein reflect legislation approved after the IRS Forms and Publications print deadline. 

APPENDIX

Forms 

Filed by 

individuals 

and others 

Title 

673 ................................. ........................ Statement for Claiming Exemption from Withholding on Foreign Earned Income Eligible for the Exclusions Provided by Section 911. 

926 ................................. X Return by a U.S. Transferor of Property to a Foreign Corporation. 

970 ................................. X Application To Use LIFO Inventory Method. 

972 ................................. X Consent of Shareholder To Include Specific Amount in Gross Income. 

982 ................................. X Reduction of Tax Attributes Due To Discharge of Indebtedness (and Section 1082 Basis Adjustment). 

1040 ............................... ........................ U.S. Individual Income Tax Return. 

1040 SCH A ................... ........................ Itemized Deductions. 

1040 SCH B ................... ........................ Interest and Ordinary Dividends. 

1040 SCH C ................... X Profit or Loss From Business. 

1040 SCH C–EZ ............ X Net Profit From Business. 

1040 SCH D ................... ........................ Capital Gains and Losses. 

1040 SCH D–1 ............... ........................ Continuation Sheet for Schedule D. 

1040 SCH E ................... X Supplemental Income and Loss. 

1040 SCH EIC ............... ........................ Earned Income Credit. 

1040 SCH F ................... X Profit or Loss From Farming. 

1040 SCH H ................... X Household Employment Taxes. 

1040 SCH J ................... ........................ Income Averaging for Farmers and Fishermen. 

1040 SCH R ................... ........................ Credit for the Elderly or the Disabled. 

1040 SCH SE ................ ........................ Self-Employment Tax. 

1040 A ........................... ........................ U.S. Individual Income Tax Return. 

1040ES (NR) .................. ........................ U.S. Estimated Tax for Nonresident Alien Individuals. 

1040ES (PR) .................. ........................ Estimated Federal Tax on Self Employment Income and on Household Employees (Residents of 

Puerto Rico). 

1040 ES–OCR–V ........... ........................ Payment Voucher. 

1040 ES–OTC ................ ........................ Estimated Tax for Individuals. 

1040 EZ ......................... ........................ Income Tax Return for Single and Joint Filers With No Dependents. 

1040 NR ......................... ........................ U.S. Nonresident Alien Income Tax Return. 

1040 NR–EZ .................. ........................ U.S. Income Tax Return for Certain Nonresident Aliens With No Dependents. 

1040 V ........................... ........................ Payment Voucher. 

1040 V–OCR–ES ........... ........................ Payment Voucher. 

1040 X ........................... ........................ Amended U.S. Individual Income Tax Return. 

1045 ............................... X Application for Tentative Refund. 

1116 ............................... X Foreign Tax Credit. 

1127 ............................... X Application For Extension of Time For Payment of Tax. 

1128 ............................... X Application To Adopt, Change, or Retain a Tax Year. 

1310 ............................... ........................ Statement of Person Claiming Refund Due a Deceased Taxpayer. 

2106 ............................... ........................ Employee Business Expenses. 

2106 EZ ......................... ........................ Unreimbursed Employee Business Expenses. 

2120 ............................... ........................ Multiple Support Declaration. 

2210 ............................... X Underpayment of Estimated Tax by Individuals, Estates, and Trusts. 

2210 F ............................ X Underpayment of Estimated Tax by Farmers and Fishermen. 

2350 ............................... ........................ Application for Extension of Time To File U.S. Income Tax Return. 

2350 SP ......................... ........................ Solicitud de Pro ́rroga para Presentar la Declaracio ́n del Impuesto Personal sobre el Ingreso de los 

Estados Unidos. 

2439 ............................... X Notice to Shareholder of Undistributed Long-Term Capital Gains. 

2441 ............................... ........................ Child and Dependent Care Expenses. 

2555 ............................... ........................ Foreign Earned Income. 

2555 EZ ......................... ........................ Foreign Earned Income Exclusion. 

2848 ............................... X Power of Attorney and Declaration of Representative. 

3115 ............................... X Application for Change in Accounting Method. 


srobinson on DSKHWCL6B1PROD with NOTICES
20456 Federal Register / Vol. 76, No. 70 / Tuesday, April 12, 2011 / Notices 

APPENDIX—Continued 

Forms 

Filed by 

individuals 

and others 

Title 

3468 ............................... X Investment Credit. 

3520 ............................... X Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts 

3800 ............................... X General Business Credit. 

3903 ............................... ........................ Moving Expenses. 

4029 ............................... ........................ Application for Exemption From Social Security and Medicare Taxes and Waiver of Benefits. 

4070 A ........................... ........................ Employee’s Daily Record of Tips. 

4136 ............................... X Credit for Federal Tax Paid On Fuels. 

4137 ............................... ........................ Social Security and Medicare Tax on Unreported Tip Income. 

4255 ............................... X Recapture of Investment Credit. 

4361 ............................... ........................ Application for Exemption From Self-Employment Tax for Use by Ministers, Members of Religious 

Orders, and Christian Science Practitioners. 

4562 ............................... X Depreciation and Amortization. 

4563 ............................... ........................ Exclusion of Income for Bona Fide Residents of American Samoa. 

4684 ............................... X Casualties and Thefts. 

4797 ............................... X Sales of Business Property. 

4835 ............................... ........................ Farm Rental Income and Expenses. 

4852 ............................... X Substitute for Form W–2, Wage and Tax Statement or Form 1099–R, Distributions From Pension

Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. 

4868 ............................... ........................ Application for Automatic Extension of Time To File Individual U.S. Income Tax Return. 

4868 SP ......................... ........................ Solicitud de Pro ́rroga Automa ́tica para Presentar la Declaracio ́n del Impuesto sobre el Ingreso Personal de los Estados Unidos. 

4952 ............................... X Investment Interest Expense Deduction. 

4970 ............................... X Tax on Accumulation Distribution of Trusts. 

4972 ............................... X Tax on Lump-Sum Distributions. 

5074 ............................... ........................ Allocation of Individual Income Tax To Guam or the Commonwealth of the Northern Mariana Islands 

(CNMI). 

5213 ............................... X Election To Postpone Determination as To Whether the Presumption Applies That an Activity Is Engaged in for Profit. 

5329 ............................... ........................ Additional Taxes on Qualified Plans (Including IRAs) and Other Tax-Favored Accounts. 

5405 ............................... ........................ First-Time Homebuyer Credit. 

5471 ............................... X Information Return of U.S. Persons With Respect To Certain Foreign Corporations. 

5471 SCH J ................... X Accumulated Earnings and Profits (E&P) of Controlled Foreign Corporation. 

5471 SCH M .................. X Transactions Between Controlled Foreign Corporation and Shareholders or Other Related Persons. 

5471 SCH O .................. X Organization or Reorganization of Foreign Corporation, and Acquisitions and Dispositions of Its 

Stock. 

5695 ............................... ........................ Residential Energy Credits. 

5713 ............................... X International Boycott Report. 

5713 SCH A ................... X International Boycott Factor (Section 999(c)(1)). 

5713 SCH B ................... X Specifically Attributable Taxes and Income (Section 999(c)(2)). 

5713 SCH C ................... X Tax Effect of the International Boycott Provisions. 

5754 ............................... X Statement by Person(s) Receiving Gambling Winnings. 

5884 ............................... X Work Opportunity Credit. 

6198 ............................... X At-Risk Limitations. 

6251 ............................... ........................ Alternative Minimum Tax—Individuals. 

6252 ............................... X Installment Sale Income. 

6478 ............................... X Credit for Alcohol Used as Fuel. 

6765 ............................... X Credit for Increasing Research Activities. 

6781 ............................... X Gains and Losses From Section 1256 Contracts and Straddles. 

8082 ............................... X Notice of Inconsistent Treatment or Administrative Adjustment Request (AAR). 

8275 ............................... X Disclosure Statement. 

8275 R ........................... X Regulation Disclosure Statement. 

8283 ............................... X Noncash Charitable Contributions. 

8332 ............................... ........................ Release of Claim to Exemption for Child of Divorced or Separated Parents. 

8379 ............................... ........................ Injured Spouse Claim and Allocation. 

8396 ............................... ........................ Mortgage Interest Credit. 

8453 ............................... ........................ U.S. Individual Income Tax Declaration for an IRS e-file Return. 

8582 ............................... X Passive Activity Loss Limitations. 

8582 CR ......................... X Passive Activity Credit Limitations. 

8586 ............................... X Low-Income Housing Credit. 

8594 ............................... X Asset Acquisition Statement. 

8606 ............................... ........................ Nondeductible IRAs. 

8609–A ........................... X Annual Statement for Low-Income Housing Credit. 

8611 ............................... X Recapture of Low-Income Housing Credit. 

8615 ............................... ........................ Tax for Certain Children Who Have Investment Income of More Than $1,800. 

8621 ............................... X Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. 

8621–A ........................... X Late Deemed Dividend or Deemed Sale Election by a Passive Foreign Investment Company. 

8689 ............................... ........................ Allocation of Individual Income Tax To the Virgin Islands. 

8693 ............................... X Low-Income Housing Credit Disposition Bond. 

8697 ............................... X Interest Computation Under the Look-Back Method for Completed Long-Term Contracts. 

8801 ............................... X Credit for Prior Year Minimum Tax—Individuals, Estates, and Trusts. 


srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 76, No. 70 / Tuesday, April 12, 2011 / Notices 20457 

APPENDIX—Continued 

Forms 

Filed by 

individuals 

and others 

Title 

8812 ............................... ........................ Additional Child Tax Credit. 

8814 ............................... ........................ Parents’ Election To Report Child’s Interest and Dividends. 

8815 ............................... ........................ Exclusion of Interest From Series EE and I U.S. Savings Bonds Issued After 1989. 

8818 ............................... ........................ Optional Form To Record Redemption of Series EE and I U.S. Savings Bonds Issued After 1989. 

8820 ............................... X Orphan Drug Credit. 

8821 ............................... X Tax Information Authorization. 

8822 ............................... X Change of Address. 

8824 ............................... X Like-Kind Exchanges. 

8826 ............................... X Disabled Access Credit. 

8828 ............................... ........................ Recapture of Federal Mortgage Subsidy. 

8829 ............................... ........................ Expenses for Business Use of Your Home. 

8832 ............................... X Entity Classification Election. 

8833 ............................... X Treaty-Based Return Position Disclosure Under Section 6114 or 7701(b). 

8834 ............................... X Qualified Electric Vehicle Credit. 

8835 ............................... X Renewable Electricity and Refined Coal Production Credit. 

8838 ............................... X Consent To Extend the Time To Assess Tax Under Section 367—Gain Recognition Statement. 

8839 ............................... ........................ Qualified Adoption Expenses. 

8840 ............................... ........................ Closer Connection Exception Statement for Aliens. 

8843 ............................... ........................ Statement for Exempt Individuals and Individuals With a Medical Condition. 

8844 ............................... X Empowerment Zone and Renewal Community Employment Credit. 

8845 ............................... X Indian Employment Credit. 

8846 ............................... X Credit for Employer Social Security and Medicare Taxes Paid on Certain Employee Tips. 

8847 ............................... X Credit for Contributions to Selected Community Development Corporations. 

8853 ............................... ........................ Archer MSAs and Long-Term Care Insurance Contracts. 

8854 ............................... ........................ Initial and Annual Expatriation Information Statement. 

8858 ............................... X Information Return of U.S. Persons With Respect to Foreign Disregarded Entities. 

8858 SCH M .................. X Transactions Between Controlled Foreign Disregarded Entity and Filer or Other Related Entities. 

8859 ............................... ........................ District of Columbia First-Time Homebuyer Credit. 

8860 ............................... X Qualified Zone Academy Bond Credit. 

8861 ............................... X Welfare-to-Work Credit. 

8862 ............................... ........................ Information to Claim Earned Income Credit After Disallowance. 

8863 ............................... ........................ Education Credits. 

8864 ............................... X Biodiesel Fuels Credit. 

8865 ............................... X Return of U.S. Persons With Respect To Certain Foreign Partnerships. 

8865 SCH K–1 ............... X Partner’s Share of Income, Credits, Deductions, etc. 

8865 SCH O .................. X Transfer of Property to a Foreign Partnership. 

8865 SCH P ................... X Acquisitions, Dispositions, and Changes of Interests in a Foreign Partnership. 

8866 ............................... X Interest Computation Under the Look-Back Method for Property Depreciated Under the Income 

Forecast Method. 

8873 ............................... X Extraterritorial Income Exclusion. 

8874 ............................... X New Markets Credit. 

8878 ............................... ........................ IRS e-file Signature Authorization for Form 4868 or Form 2350. 

8878 SP ......................... ........................ Autorizacio ́n de firma para presentar por medio del IRS e-file para el Formulario 4868(SP) o el 

Formulario 2350(SP). 

8879 ............................... ........................ IRS e-file Signature Authorization. 

8879 SP ......................... ........................ Autorizacio ́n de firma para presentar la Declaracio ́n por medio del IRS e-file. 

8880 ............................... ........................ Credit for Qualified Retirement Savings Contributions. 

8881 ............................... X Credit for Small Employer Pension Plan Startup Costs. 

8882 ............................... X Credit for Employer-Provided Childcare Facilities and Services. 

8885 ............................... ........................ Health Coverage Tax Credit. 

8886 ............................... X Reportable Transaction Disclosure Statement. 

8888 ............................... ........................ Allocation of Refund (Including Savings Bond Purchases. 

8889 ............................... ........................ Health Savings Accounts (HSAs). 

8891 ............................... ........................ U.S. Information Return for Beneficiaries of Certain Canadian Registered Retirement Plans. 

8896 ............................... X Low Sulfur Diesel Fuel Production Credit. 

8898 ............................... ........................ Statement for Individuals Who Begin or End Bona Fide Residence in a U.S. Possession. 

8900 ............................... X Qualified Railroad Track Maintenance Credit. 

8903 ............................... X Domestic Production Activities Deduction. 

8906 ............................... ........................ Distilled Spirits Credit. 

8907 ............................... ........................ Nonconventional Source Fuel Credit. 

8908 ............................... ........................ Energy Efficient Home Credit. 

8910 ............................... ........................ Alternative Motor Vehicle Credit. 

8911 ............................... ........................ Alternative Fuel Vehicle Refueling Property Credit. 

8914 ............................... ........................ Exemption Amount for Taxpayers Housing Midwestern Displaced Individuals. 

8915 ............................... ........................ Qualified Hurricane Retirement Plan Distribution and Repayments. 

8917 ............................... ........................ Tuition and Fees Deduction. 

8919 ............................... ........................ Uncollected Social Security and Medicare Tax on Wages. 

8925 ............................... X Report of Employer-Owned Life Insurance Contracts. 

8931 ............................... X Agricultural Chemicals Security Credit. 

8932 ............................... X Credit for Employer Differential Wage Payments. 


srobinson on DSKHWCL6B1PROD with NOTICES
20458 Federal Register / Vol. 76, No. 70 / Tuesday, April 12, 2011 / Notices 

APPENDIX—Continued 

Forms 

Filed by 

individuals 

and others 

Title 

9465 ............................... ........................ Installment Agreement Request. 

9465 SP ......................... ........................ Solicitud para un Plan de Pagos a Plazos. 

Notice 2006–52 .............. ........................

Notice 160920–05 .......... ........................ Deduction for Energy Efficient Commercial Buildings. 

Pub 972 Tables .............. ........................ Child Tax Credit. 

REG–149856–03 ........... ........................ Notice of Proposed Rulemaking Dependent Child of Divorced or Separated Parents or Parents Who 

Live Apart. 

SS–4 .............................. X Application for Employer Identification Number. 

SS–8 .............................. X Determination of Worker Status for Purposes of Federal Employment Taxes and Income Tax Withholding. 

T (Timber) ...................... X Forest Activities Schedules. 

W–4 ................................ ........................ Employee’s Withholding Allowance Certificate. 

W–4 P ............................ ........................ Withholding Certificate for Pension or Annuity Payments. 

W–4 S ............................ ........................ Request for Federal Income Tax Withholding From Sick Pay. 

W–4 SP .......................... ........................ Certificado de Exencio ́n de la Retencio ́n del Empleado. 

W–4 V ............................ ........................ Voluntary Withholding Request. 

W–7 ................................ ........................ Application for IRS Individual Taxpayer Identification Number. 

W–7 A ............................ ........................ Application for Taxpayer Identification Number for Pending U.S. Adoptions. 

W–7 SP .......................... ........................ Solicitud de Numero de Identificacı ́on Personal del Contribuyente del Servicio de Impuestos 

Internos. 

Forms Removed from this ICR: Reason for removal: 

W–5/W–5SP AEIC is not valid for tax 

years beginning after 

12/31/2010. P.L. 111– 

226, sec. 219 

1040 ES/V OCR Obsolete 

4070 Obsolete 

Forms Added to this ICR: Justification for Addition: 

W–7(COA) T.D. 8671, 1996–1 

C.B.314 

5884–B P.L. 111—147, section 

102 

[FR Doc. 2011–8669 Filed 4–11–11; 8:45 am] 

BILLING CODE 4830–01–P 

DEPARTMENT OF THE TREASURY 

Office of Thrift Supervision 

Mutual Holding Company 

AGENCY: Office of Thrift Supervision 

(OTS), Treasury. 

ACTION: Notice and request for comment. 

SUMMARY: The Department of the 

Treasury, as part of its continuing effort 

to reduce paperwork and respondent 

burden, invites the general public and 

other Federal agencies to comment on 

proposed and continuing information 

collections, as required by the 

Paperwork Reduction Act of 1995, 44 

U.S.C. 3507. The Office of Thrift 

Supervision within the Department of 

the Treasury will submit the proposed 

information collection requirement 

described below to the Office of 

Management and Budget (OMB) for 

review, as required by the Paperwork 

Reduction Act. Today, OTS is soliciting 

public comments on its proposal to 

extend this information collection. 

DATES: Submit written comments on or 

before June 13, 2011. 

ADDRESSES: Send comments, referring to 

the collection by title of the proposal or 

by OMB approval number, to 

Information Collection Comments, Chief 

Counsel’s Office, Office of Thrift 

Supervision, 1700 G Street, NW., 

Washington, DC 20552; send a facsimile 

transmission to (202) 906–6518; or send 

an e-mail to 

infocollection.comments@ots.treas.gov. 

OTS will post comments and the related 

index on the OTS Internet site at 

http://www.ots.treas.gov. In addition, 

interested persons may inspect 

comments at the Public Reading Room, 

1700 G Street, NW by appointment. To 

make an appointment, call (202) 906– 

5922, send an e-mail to 

public.info@ots.treas.gov, or send a 

facsimile transmission to (202) 906– 

7755. 

FOR FURTHER INFORMATION CONTACT: You 

can request additional information 

about this proposed information 

collection from Donald W. Dwyer on 

(202) 906–6414, Office of Thrift 

Supervision, 1700 G Street, NW., 

Washington, DC 20552. 

SUPPLEMENTARY INFORMATION: OTS may 

not conduct or sponsor an information 

collection, and respondents are not 

required to respond to an information 

collection, unless the information 

collection displays a currently valid 

OMB control number. As part of the 

approval process, we invite comments 

on the following information collection. 

Comments should address one or 

more of the following points: 

a. Whether the proposed collection of 

information is necessary for the proper 

performance of the functions of OTS; 

b. The accuracy of OTS’s estimate of 

the burden of the proposed information 

collection; 

c. Ways to enhance the quality, 

utility, and clarity of the information to 

be collected; 

d. Ways to minimize the burden of the 

information collection on respondents, 

including through the use of 

information technology. 

We will summarize the comments 

that we receive and include them in the 

OTS request for OMB approval. All 


srobinson on DSKHWCL6B1PROD with NOTICES