39144 Federal Register / Vol. 74, No. 149 / Wednesday, August 5, 2009 / Notices 

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-forprofit 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 

DEPARTMENT OF THE TREASURY 

Internal Revenue Service 

Proposed Collection; Comment 

Request for the Limited Payability 

Claim Against the United States for 

Proceeds of an Internal Revenue 

Refund Check 

AGENCY: Internal Revenue Service (IRS), 

Treasury. 

ACTION: Notice and request for 

comments. 

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 the 

Limited Payability Claim Against the 

United States for Proceeds of an Internal 

Revenue Refund Check. 

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 Dawn.E.Bidne@irs.gov. 

SUPPLEMENTARY INFORMATION: Title: 

Limited Payability Claim Against the 

United States for Proceeds of an Internal 

Revenue Refund Check. 

OMB Number: 1545–2024. 

Form Number: Not applicable. 

Abstract: This form is used by 

taxpayers for completing a claim against 

the United States for the proceeds of an 

Internal Revenue refund check. 

Current Actions: There is no change 

in the paperwork burden previously 

approved by OMB. This form is being 

submitted for renewal purposes only. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Individuals or 

households, businesses and other forprofit organizations. 

Estimated Number of Respondents: 

4,000. 

Estimated Time Per Respondent: 1 

hour. 

Estimated Total Annual Burden 

Hours: 4,000. 

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. E9–18677 Filed 8–4–09; 8:45 am] 

BILLING CODE 4830–01–P 

DEPARTMENT OF THE TREASURY 

Internal Revenue Service 

Proposed Collection; Comment 

Request for Form 13460 

AGENCY: Internal Revenue Service (IRS), 

Treasury. 

ACTION: Notice and request for 

comments. 

SUMMARY: The Department of the 

Treasury, as part of its continuing effort 


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