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
Federal Register / Vol. 76, No. 70 / Tuesday, April 12, 2011 / Notices 20459 

comments will become a matter of 

public record. In this notice, OTS is 

soliciting comments concerning the 

following information collection. 

Title of Proposal: Mutual Holding 

Company. 

OMB Number: 1550–0072. 

Form Numbers: MHC–1 (OTS Form 

1522) and MHC–2 (OTS Form 1523). 

Description: The OTS analyzes the 

submitted information to determine 

whether the applicant meets the 

statutory and regulatory criteria to form 

a mutual holding company and/or 

perform minority stock issuances. 

Information provided in the notice or 

application is essential if the OTS is to 

fulfill its mandate to prevent insider 

abuse and unsafe and unsound practices 

by mutual holding companies and their 

subsidiaries. Minority issuances are not 

feasible without an application process 

that includes the review of such 

information. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Businesses or other 

for-profit. 

Estimated Number of Respondents: 

50. 

Estimated Frequency of Response: On 

occasion. 

Estimated Total Burden: 4,132 hours. 

Dated: April 6, 2011. 

Ira L. Mills, 

Paperwork Clearance Officer, Office of Chief 

Counsel, Office of Thrift Supervision. 

[FR Doc. 2011–8591 Filed 4–11–11; 8:45 am] 

BILLING CODE 6720–01–P 

DEPARTMENT OF THE TREASURY 

Office of Thrift Supervision 

Mutual to Stock Conversion 

Application 

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 

comments will become a matter of 

public record. In this notice, OTS is 

soliciting comments concerning the 

following information collection. 

Title of Proposal: Mutual to Stock 

Conversion Application. 

OMB Number: 1550–0014. 

Form Numbers: 1680, 1681, 1682, and 

1683. 

Description: The OTS staff makes an 

in-depth study of all information 

furnished in the application in order to 

determine the safety and soundness of 

the proposed stock conversion. The 

purpose of the information collection is 

to provide OTS with the information 

necessary to determine if the proposed 

transaction may be approved. If the 

information required were not collected, 

OTS would not be able to properly 

evaluate whether the proposed 

transaction was acceptable. The 

information collection allows OTS to 

evaluate the merits of the proposed 

conversion plan and application in light 

of applicable statutory and regulatory 

criteria. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Businesses or other 

for-profit. 

Estimated Number of Respondents: 

30. 

Estimated Frequency of Response: On 

occasion. 

Estimated Total Burden: 15,300 

hours. 

Dated: April 6, 2011. 

Ira L. Mills, 

Paperwork Clearance Officer, Office of Chief 

Counsel, Office of Thrift Supervision. 

[FR Doc. 2011–8602 Filed 4–11–11; 8:45 am] 

BILLING CODE 6720–01–P 

DEPARTMENT OF THE TREASURY 

Office of Thrift Supervision 

Savings and Loan Holding Company 

Application 

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 


srobinson on DSKHWCL6B1PROD with NOTICES