[Federal Register Volume 74, Number 149 (Wednesday, August 5, 2009)]
[Notices]
[Pages 39143-39144]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-18676]


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DEPARTMENT OF THE TREASURY

Internal Revenue Service


Proposed Collection; Comment Request for Form 8928

AGENCY: Internal Revenue Service (IRS), Treasury.

ACTION: Notice and request for comments.

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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 take this opportunity to comment 
on proposed and/or continuing information collections, as required by 
the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 
3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning 
Form 8928, Return of Certain Excise Taxes Under Chapter 43 of the 
Internal Revenue Code.

DATES: Written comments should be received on or before October 5, 2009 
to be assured of consideration.

ADDRESSES: Direct all written comments to R. Joseph Durbala, Internal 
Revenue Service, room 6129, 1111 Constitution Avenue NW., Washington, 
DC 20224.

FOR FURTHER INFORMATION CONTACT: Requests for additional information or 
copies of the form and instructions should be directed to Dawn Bidne, 
(202) 622-3933, at Internal Revenue Service, room 6129, 1111 
Constitution Avenue NW., Washington, DC 20224, or through the Internet 
at <a href="/cdn-cgi/l/email-protection#84c0e5f3eaaac1aac6ede0eae1c4edf6f7aae3ebf2"><span class="__cf_email__" data-cfemail="054164726b2b402b476c616b60456c77762b626a73">[email protected]</span></a>.

[[Page 39144]]


SUPPLEMENTARY INFORMATION: Title: Return of Certain Excise Taxes Under 
Chapter 43 of the Internal Revenue Code.
    OMB Number: 1545-2148.
    Form Number: Form 8928.
    Abstract: Form 8928 is used by employers, group health plans, HMOs, 
and third party administrators to report and pay excise taxes due for 
failures under sections 4980B, 4980D, 4980E, and 4980G.
    Current Actions: There is no change in the paperwork burden 
previously approved by OMB. This form is being submitted for renewal 
purposes.
    Type of Review: This is an extension of a previously approved 
collection.
    Affected Public: Businesses and other for-profit organizations, and 
not-for-profit institutions.
    Estimated Number of Respondents: 100.
    Estimated Time Per Respondent: 18 hours 33 minutes.
    Estimated Total Annual Burden Hours: 1,858.
    The following paragraph applies to all of the collections of 
information covered by this notice:
    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 shall 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.

    Approved: July 28, 2009.
R. Joseph Durbala,
IRS Reports Clearance Officer.
[FR Doc. E9-18676 Filed 8-4-09; 8:45 am]
BILLING CODE 4830-01-P


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