Federal Register / Vol. 75, No. 228 / Monday, November 29, 2010 / Notices 73163 

Title: Hiring Incentives to Restore 

Employment (HIRE) Act Employee 

Affidavit. 

Abstract: This form was created in 

response to the Hiring Incentives to 

Restore Employment (HIRE) Act, which 

was signed on March 18, 2010. The form 

was developed as a template for the 

convenience of employers who must 

collect affidavits from qualifying 

employees. The form is not filed, rather 

an employer must retain the affidavit in 

order to justify claiming certain HIRE 

Act benefits. A model form is needed as 

soon as possible so that employers can 

begin confidently claiming payroll 

exemptions. The useful life of the form 

is only from March 18, 2010 to 

December 31, 2010. 

Respondents: Businesses or other forprofits. 

Estimated Total Burden Hours: 

227,000 hours. 

OMB Number: 1545–2174. 

Type of Review: Extension without 

change to a currently approved 

collection. 

Title: Form 14134, Application for 

Certificate of Subordination of Federal 

Tax Lien, and Form 14135, Application 

for Certificate of Discharge of Property 

from Federal Tax Lien. 

Form: 14134, 14135. 

Abstract: The collection of 

information is required by 26 CFR 

301.6325–1(b)(5) for consideration of 

the United States discharging property 

from the Federal tax lien and is required 

by 26 CFR 301.6325–1(d)(4) for 

consideration that the United States 

subordinate its interest in property. 

These forms will provide guidance to 

ensure proper documentation is 

submitted to the Agency. 

Respondents: Businesses or other forprofits, farms, not-for-profit institutions. 

Estimated Total Burden Hours: 22,665 

hours. 

OMB Number: 1545–2090. 

Type of Review: Extension without 

change to a currently approved 

collection. 

Title: REG–143797–06 (Final), Health 

Savings Plan Notice. 

Abstract: The information is needed 

in cases where an employee establishes 

an HSA after the end of the calendar 

year but before the last day of February 

and will be used by employees for 

purposes of making up HSA 

contributions to those employees. the 

respondents are employees of employers 

who contribute to employees’ HSAs. 

Respondents: Businesses or other forprofits and not-for-profit institutions. 

Estimated Total Burden Hours: 

1,250,000 hours. 

OMB Number: 1545–1892. 

Type of Review: Extension without 

change to a currently approved 

collection. 

Title: REG–153841–02 (TD 9208) 

(Final), Election Out of GST Deemed 

Allocations. 

Abstract: The information collected 

will be used by the IRS to identify the 

trusts to which the election or 

termination of election will apply. The 

collection of information in this 

proposed regulation is in sections 

26.2632–1(b)(2)(ii), 26.2632–1(b)(2)(iii), 

and 26.2632–1(b)(2). This information is 

required by the IRS for taxpayers who 

elect to have the automatic allocation 

rules not apply to the current transfer 

and/or to future transfers to the trust or 

to terminate such election. This 

information is also required by the IRS 

for taxpayers who elect to treat trusts 

described in section 2632(c)(3)(B)(i) 

through (vi) as GST trusts or to 

terminate such election. 

Respondents: Individuals or 

households. 

Estimated Total Burden Hours: 12,500 

hours. 

OMB Number: 1545–1430. 

Type of Review: Extension without 

change to a currently approved 

collection. 

Title: Form 945 and 945V: Annual 

Return of Withheld Federal Income Tax/ 

Voucher; Form 945–A: Annual Record 

of Federal Tax Liability; Form 945–X 

Annual Return of Withheld Federal 

Income Tax, Claim, Refund. 

Form: 945, 945V, 945–X. 

Abstract: Form 945 is used to report 

income tax withholding on nonpayroll 

payments including backup 

withholding and withholding on 

pensions, annuities, IRA’s military 

retirement and gambling winnings. 

Form 945–V, Payment Voucher, is used 

if you are making a payment with Form 

945, Annual Return of Withheld Federal 

Income Tax. Form 945–A is used to 

report nonpayroll tax liabilities. Form 

945–X is used to correct errors made on 

Form 945, Annual Return of Withheld 

Federal Income Tax, for one year only. 

Respondents: Businesses or other forprofits. 

Estimated Total Burden Hours: 

3,596,690 hours. 

OMB Number: 1545–1081. 

Type of Review: Extension without 

change to a currently approved 

collection. 

Title: Application for Extension of 

Time to File Information Returns. 

Form: 8809. 

Abstract: Form 8809 is used to request 

an extension of time to file Forms W– 

2, W–2G, 1042–S, 1097, 1098, 1099, 

3921, 3922, 5498, and 8027. The IRS 

reviews the information contained on 

the form to determine whether an 

extension should be granted. 

Respondents: Businesses or other forprofits, farms, not-for-profit institutions. 

Estimated Total Burden Hours: 

192,000 hours. 

OMB Number: 1545–0985. 

Type of Review: Extension without 

change to a currently approved 

collection. 

Title: PS–128–86, PS–127–86, and 

PS–73–88 (Final)(TD 8644) GenerationSkipping Transfer Tax. 

Abstract: This regulation provides 

rules relating to the effective date, 

return requirements, definitions, and 

certain special rules covering the 

generation-skipping transfer tax. The 

information required by the regulation 

will require individuals and/or 

fiduciaries to report information on 

Form 706NA, 706, 706GS (D), 706GS(D– 

1), 706GS(T), 709 and 843 in connection 

with the generation skipping transfer 

tax. The information will facilitate the 

assessment of the tax and taxpayer 

examinations. 

Respondents: Individuals or 

households. 

Estimated Total Burden Hours: 3,750 

hours. 

Bureau Clearance Officer: Allan M. 

Hopkins, Internal Revenue Service, 

1111 Constitution Avenue, NW., Room 

6129, Washington, DC 20224; (202) 622– 

3634. 

OMB Reviewer: Shagufta Ahmed, 

Office of Management and Budget, New 

Executive Office Building, Room 10235, 

Washington, DC 20503; (202) 395–7873. 

Celina Elphage, 

Treasury PRA Clearance Officer. 

[FR Doc. 2010–29829 Filed 11–26–10; 8:45 am] 

BILLING CODE 4830–01–P 

DEPARTMENT OF THE TREASURY 

Submission for OMB Review; 

Comment Request 

November 23, 2010. 

The Department of the Treasury will 

submit the following public information 

collection requirement to OMB for 

review and clearance under the 

Paperwork Reduction Act of 1995, 

Public Law 104–13 on or after the date 

of publication of this notice. A copy of 

the submission may be obtained by 

calling the Treasury Bureau Clearance 

Officer listed. Comments regarding 

these information collections should be 

addressed to the OMB reviewer listed 

and to the Treasury PRA Clearance 

Officer, Department of the Treasury, 

1750 Pennsylvania Avenue, NW., Suite 

11010, Washington, DC 20220. 

mstockstill on DSKH9S0YB1PROD with NOTICES

73164 Federal Register / Vol. 75, No. 228 / Monday, November 29, 2010 / Notices 

DATES: Written comments should be 

received on or before December 29, 2010 

to be assured of consideration. 

Internal Revenue Service (IRS) 

OMB Number: 1545–0199. 

Type of Review: Extension without 

change to a currently approved 

collection. 

Title: Application for Approval of 

Prototype Simplified Employee Pension 

(SEP) or Savings Incentive Match Plan 

for Employees of Small Employers 

(SIMPLE IRA Plan). 

Form: 5306–A. 

Abstract: This form is used by banks, 

credit unions, insurance companies, and 

trade or professional associations to 

apply for approval of a Simplified 

Employee Pension Plan or Savings 

Incentive Match Plan to be used by 

more than one employer. The data 

collected is used to determine if the 

prototype plan submitted is an 

approved plan. 

Respondents: Private sector: 

Businesses or other for-profits. 

Estimated Total Burden Hours: 94,400 

hours. 

Bureau Clearance Officer: Allan 

Hopkins, Internal Revenue Service, 

1111 Constitution Avenue, NW., 

Washington, DC 20224; (202) 622–6665. 

OMB Reviewer: Shagufta Ahmed, 

Office of Management and Budget, New 

Executive Office Building, Room 10235, 

Washington, DC 20503; (202) 395–7873. 

Dawn D. Wolfgang, 

Treasury PRA Clearance Officer. 

[FR Doc. 2010–29931 Filed 11–26–10; 8:45 am] 

BILLING CODE 4830–01–P 

DEPARTMENT OF THE TREASURY 

Submission for OMB Review; 

Comment Request 

November 22, 2010. 

The Department of the Treasury will 

submit the following public information 

collection requirements to OMB for 

review and clearance under the 

Paperwork Reduction Act of 1995, 

Public Law 104–13 on or after the date 

of publication of this notice. A copy of 

the submissions may be obtained by 

calling the Treasury Bureau Clearance 

Officer listed. Comments regarding 

these information collections should be 

addressed to the OMB reviewer listed 

and to the Treasury PRA Clearance 

Officer, Department of the Treasury, 

1750 Pennsylvania Avenue, NW., Suite 

11010, Washington, DC 20220. 

DATES: Written comments should be 

received on or before December 29, 

2010. 

Internal Revenue Service (IRS) 

OMB Number: 1545–0035. 

Type of Review: Extension without 

change to a currently approved 

collection. 

Title: Employer’s Annual Tax Return 

for Agricultural Employees. 

Form: 943, 943–PR, 943–A, 943A–PR, 

943–X, 943 X–PR. 

Abstract: Sections 3101(a) and (b), 

and 3111(a) and (b), 3402(p), and 

6011(a) and (b) of the Internal Revenue 

Code and sections 31.6011(a)–1 and 

31.6011(a)–4 of the Employment Tax 

Regulations require agricultural 

employers to report (a) The employees’ 

and employers’ FICA taxes on wages 

and (b) the amounts withheld for 

income tax. Form 943 is used for this 

purpose. Sections 3101(a) and (b), 

3111(a) and (b), and 6011(a) and (b) of 

the Internal Revenue Code and section 

31.6011(a)–1 of the Employment Tax 

Regulations require agricultural 

employers in Puerto Rico to report the 

employees’ and employers’ FICA taxes 

on wages. Form 943–PR is used for this 

purpose. Section 6302(c) of the Internal 

Revenue Code and section 31.6302–l(g) 

of the Employment Tax Regulations 

require agricultural employers who are 

semiweekly depositors to deposit the 

taxes accumulated during the 

semiweekly period within 3 banking 

days of the end of the period. Section 

31.6302–l(c)(3) of the Employment Tax 

Regulations requires that agricultural 

employers, who on any day within a 

deposit period accumulate $100,000 or 

more of employment taxes, must deposit 

them by the close of the next banking 

day. Forms 943–A and 943A–PR are 

optional forms that may be used by 

agricultural employers to show their tax 

liabilities for the semiweekly periods 

and $100,000 one-day rule. Form 943– 

X is used to correct errors made on 

Form 943, Employer’s Annual Federal 

Tax Return for Agricultural Employees, 

for one year only. Form 943–X–PR, for 

use in Puerto Rico, is used to correct 

errors made on Form 943, Employer’s 

Annual Federal Tax Return for 

Agricultural Employees, for one year 

only. 

Respondents: Businesses or other forprofits and Farms. 

Estimated Total Burden Hours: 

10,880,812 hours. 

Bureau Clearance Officer: Allan M. 

Hopkins, Internal Revenue Service, 

1111 Constitution Avenue, NW., Room 

6129, Washington, DC 20224; (202) 622– 

3634. 

OMB Reviewer: Shagufta Ahmed, 

Office of Management and Budget, New 

Executive Office Building, Room 10235, 

Washington, DC 20503; (202) 395–7873. 

Celina Elphage, 

Treasury PRA Clearance Officer. 

[FR Doc. 2010–29930 Filed 11–26–10; 8:45 am] 

BILLING CODE 4830–01–P 

DEPARTMENT OF THE TREASURY 

Submission for OMB Review; 

Comment Request 

November 22, 2010. 

The Department of the Treasury will 

submit the following public information 

collection requirement to OMB for 

review and clearance under the 

Paperwork Reduction Act of 1995, 

Public Law 104–13 on or after the date 

of publication of this notice. A copy of 

the submission may be obtained by 

calling the Treasury Bureau Clearance 

Officer listed. Comments regarding this 

information collection should be 

addressed to the OMB reviewer listed 

and to the Treasury PRA Clearance 

Officer, Department of the Treasury, 

1750 Pennsylvania Avenue, NW., Suite 

11010, Washington, DC 20220. 

DATES: Written comments should be 

received on or before December 29, 2010 

to be assured of consideration. 

Bureau of the Public Debt (BPD) 

OMB Number: 1535–0122. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Title: Voluntary Customer Satisfaction 

Survey To Implement Executive Order 

12862. 

Abstract: Voluntary surveys to 

determine customer satisfaction with 

BPD products and services. 

Respondents: Individuals and 

Households. 

Estimated Total Burden Hours: 876 

hours. 

Bureau Clearance Officer: Bruce 

Sharp, Bureau of the Public Debt, 200 

Third Street, Parkersburg, West Virginia 

26106; (304) 480–8112. 

OMB Reviewer: Shagufta Ahmed, 

Office of Management and Budget, New 

Executive Office Building, Room 10235, 

Washington, DC 20503; (202) 395–7873. 

Robert Dahl, 

Treasury PRA Clearance Officer. 

[FR Doc. 2010–29926 Filed 11–26–10; 8:45 am] 

BILLING CODE 4810–39–P 

mstockstill on DSKH9S0YB1PROD with NOTICES