2484 Federal Register / Vol. 78, No. 8 / Friday, January 11, 2013 / Notices 

OMB Number: 1545–1826. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Title: Excise Tax on Structured 

Settlement Factoring Transactions. 

Form: 8876. 

Abstract: Form 8876 is used to report 

and pay the 40 percent excise tax 

imposed under § 5891 on the factoring 

discount of a structured settlement 

factoring transaction. 

Affected Public: Private Sector: 

Businesses or other for-profits. 

Estimated Total Burden Hours: 500. 

OMB Number: 1545–2010. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Title: Employer’s Annual Federal Tax 

Return (American Samoa, Guam, the 

Commonwealth of the Northern Mariana 

Islands, and the U.S. Virgin Islands). 

Form: 944–SS; 944–PR. 

Abstract: Form 944–SS and Form 

944–PR are designed so the smallest 

employers (those whose annual liability 

for social security and Medicare taxes is 

$1,000 or less) will have to file and pay 

these taxes only once a year instead of 

every quarter. 

Affected Public: Private Sector: 

Businesses or other for-profits. 

Estimated Total Burden Hours: 

191,200. 

Dawn D. Wolfgang, 

Treasury PRA Clearance Officer. 

[FR Doc. 2013–00365 Filed 1–10–13; 8:45 am] 

BILLING CODE 4830–01–P 

DEPARTMENT OF THE TREASURY 

Internal Revenue Service 

Proposed Collection; Comment 

Request for Form 14417 

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 Form 

14417, Reimbursable Agreement—NonFederal Entities. 

DATES: Written comments should be 

received on or before March 12, 2013 to 

be assured of consideration. 

ADDRESSES: Direct all written comments 

to Yvette Lawrence, 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 R. Joseph Durbala, 

(202) 622–3634, at Internal Revenue 

Service, room 6129, 1111 Constitution 

Avenue NW., Washington, DC 20224, or 

through the Internet at 

RJoseph.Durbala@irs.gov. 

SUPPLEMENTARY INFORMATION: 

Title: Reimbursable Agreement—NonFederal Entities. 

OMB Number: 1545–2235. 

Form Number: 14417. 

Abstract: Form 14417, Reimbursable 

Agreement—Non-Federal Entities, was 

developed for funds in reimbursable 

agreements with non-federal entities 

such as state, local, foreign governments 

and non-federal public entities. 

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: State, Local, and 

Tribal Governments. 

Estimated Number of Respondents: 

300. 

Estimated Time per Respondent: 30 

minutes. 

Estimated Total Annual Burden 

Hours: 150. 

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: January 4, 2013. 

Yvette Lawrence, 

IRS Reports Clearance Officer. 

[FR Doc. 2013–00376 Filed 1–10–13; 8:45 am] 

BILLING CODE 4830–01–P 

mstockstill on DSK4VPTVN1PROD with