Federal Register / Vol. 62, No. 60 / Friday, March 28, 1997 / Notices 14969

application questionnaire (or a facsimile

thereof prepared on a word processor),

and forward it to Ms. Kate LaBuda of the

Office Payer Compliance, at the address

below.

ADDRESSES: Internal Revenue Service,

CP:EX:ST:PC, 1111 Constitution

Avenue, NW., Room 2013, Washington,

DC 20224.

DATES: Completed questionnaires (or

facsimiles) should be received by IRS no

later than Friday, May 16, 1997.

Questionnaires received after this date

will not be considered. An

acknowledgment letter will be sent

upon receipt.

FOR FURTHER INFORMATION CONTACT: To

have a copy of the application

questionnaire mailed or faxed to you,

please call Ms. Thomasine Matthews at

202–622–4214 (not a toll-free number).

For general information about the

application process or IRPAC in general,

call Kate LaBuda at 202–622–3404 (not

a toll-free number).

Dated: March 24, 1997.

Approved:

Kate LaBuda,

Acting Director, Office of Payer Compliance.

Attachment

Information Reporting Program

Advisory Committee Membership

Application Questionnaire

The following questions must be

answered by anyone interested in

becoming a member of the Information

Reporting Program Advisory Committee

(IRPAC). Applications (or facsimiles

produced on a word processor) must be

received at the address listed below by

May 16, 1997. Those received after this

date will not be considered. All

applications received will be

acknowledged. Questions may be

directed to Kate LaBuda at 202–622–

3404.

Ms. Kate LaBuda, CP:EX:ST:PC, Internal

Revenue Service, Room 2013, 1111

Constitution Avenue, NW.,

Washington, DC 20224

1. Name:

2. Title:

3. Employer Name:

4. Business Address:

5. Business Phone:

6. Fax Number:

7. E-Mail Address:

8. If you are applying on behalf of an

organization or association other than

your employer, please state the name,

and address of that organization. Also,

provide a letter of reference from that

organization stating that you are

nominated on their behalf. This letter

should contain the name of a contact

and this contact’s phone number.

9. Home Address:

10. Home Phone:

11. Have you ever served on IRPAC or

the Commissioner’s Advisory Group

(CAG)? If so, please explain. Do you

currently have an application pending

for CAG membership?

12. Check the one segment of the

Information Reporting Program (IRP)

payer community to which the

organization that you represent, and

your experience, most closely relate:

llReal Estate

llTransmitter/Forms Developer

llSoftware Developer

llInsurance: Property & Casualty

llInsurance: Life

llSecurities

llMutual Funds

llPayroll

llState & Local Government

llCorporate Compliance

llSmall Business Compliance

llPublic Accounting

llEmployee Plans

llTrust Company

llCorporate Transfer Agent/Utilities

llLarge Banks/Financial Institution

llSmall Banks/Financial Institution

llRestaurant Industry

llOther

(Please specify. llllllll)

13. List the number of years of IRPrelated experience you have, and

specific sources of this IRP

experience. (Account for all years of

IRP experience claimed.)

14. List professional credentials (e.g.,

Ph.D., CPA, Enrolled Agent, Attorney,

Accountant, etc.)

15. Identify organizations to which you

belong and any relevant leadership

positions you have held.

16. List any previous IRS employment

(please state position(s), title(s), and

time in each position):

17. Please propose two topic ideas that

you feel would be appropriate for

discussion by IRPAC. Include a short

description (three sentences) of each

topic.

The Following Three Items Are

Required for an FBI Name Check

18. Date of Birth:

19. Place of Birth:

20. Other names ever used:

The Following Items Are Required for

an IRS Tax Check. (Please Note That a

Tax Check is not a Tax Audit.)

The Internal Revenue Service will

perform the standard Federal Advisory

Committee member tax check, (pursuant

to 26 U.S.C. 6103; 5 U.S.C. 1303;

Executive Orders 9397, 11222, 10450;

CFR 5.2; 31 CFR Part O, Treasury

Department Order Nos. 82 (Revised) and

150–87) and provide the information

obtained to the Assistant Secretary

(Administration) of the Treasury

Department. The purpose of this tax

check is to promote public confidence

in the integrity of the Treasury

Department and its administration of

the Federal tax system. Your Social

Security Number is required to identify

your tax records accurately. This tax

check must be completed prior to any

appointment to this Federal Advisory

Committee and you are now being asked

to voluntarily provide the following

information and, at a later time, you will

be asked to sign a formal tax check

waiver:

21. Social Security Number (SSN):

22. Spouse’s name and SSN (if married

and filing jointly):

The Following Item is Required

Because of the Foreign Agents

Registration Act (FARA), as Amended

23. I presently ll am/ ll am not

required to register as an agent of a

foreign principal under FARA, as

amended.

Note: Pursuant to 18 U.S.C. sec. 219, an

individual who is required to register as an

agent of a foreign principal under FARA is

prohibited from serving on IRPAC. By

executing this questionnaire, you agree that

(1) if you are required to register as an agent

of a foreign principal under the FARA before

your term commences on IRPAC, you will

terminate any and all such agencies prior to

beginning your tenure and will provide

appropriate verification therefor; and (2) you

will immediately resign from IRPAC if you

become such an agent at any time during

your term.

CERTIFICATION

24. I certify that, to the best of my

knowledge and belief, all of my

statements are true, correct, complete,

and made in good faith. I also agree

to the background checks set forth

herein.

lllllllllllllllllllll

Signature

lllllllllllllllllllll

Date

[FR Doc. 97–7966 Filed 3–27–97; 8:45 am]

BILLING CODE 4830–01–U

Office of Thrift Supervision

Proposed Agency Information

Collection Activities; Comment

Request

AGENCY: Office of Thrift Supervision,

Department of Treasury.

ACTION: Notice and request for

comments.

SUMMARY: The Department of the

Treasury, as part of its continuing effort
14970 Federal Register / Vol. 62, No. 60 / Friday, March 28, 1997 / Notices

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. Currently, the

Office of Thrift Supervision within the

Department of the Treasury is soliciting

comments concerning the Instructions

for Filling out the Interest-Rate Risk

Appeals Submission.

DATES: Written comments should be

received on or before May 27, 1997 to

be assured of consideration.

ADDRESSES: Send comments to Manager,

Dissemination Branch, Records

Management and Information Policy,

Office of Thrift Supervision, 1700 G

Street, NW., Washington, DC 20552,

Attention 1550–0084. These

submissions may be hand delivered to

1700 G Street, NW., from 9:00 a.m. to

5:00 p.m. on business days; they may be

sent by facsimile transmission to FAX

Number (202) 906–7755. Comments

over 25 pages in length should be sent

to FAX Number (202) 906–6956.

Comments will be available for

inspection at 1700 G Street, NW., from

9:00 a.m. until 4:00 p.m. on business

days.

FOR FURTHER INFORMATION CONTACT:

Requests for additional information

should be directed to Robert Kazden,

Supervision, Office of Thrift

Supervision, 1700 G Street, NW.,

Washington, DC 20552, (202) 906–5759.

SUPPLEMENTARY INFORMATION:

Title: Instructions for Filling Out the

Interest-Rate Risk Appeals Submission.

Form Number: OTS Form 1586–A and

OTS Form 1586–I.

Abstract: These forms are used by

OTS to obtain information from savings

associations which want to appeal their

interest-rate risk component.

Current Actions: This is an extension

of an already approved information

collection.

Type of Review: Regular Submission.

Affected Public: Business or For

Profit.

Estimated Number of Respondents: 9.

Estimated Time Per Respondent:

18.89 minutes average.

Estimated Total Annual Burden

Hours: 170 hours.

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; (d) ways to minimize the

burden of the collection of information

on respondents, including 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.

Dated: March 19, 1997.

Catherine C. M. Teti,

Director, Records Management and

Information Policy.

[FR Doc. 97–7866 Filed 3–27–97; 8:45 am]

BILLING CODE 6720–01–P

Proposed Agency Information

Collection Activities; Comment

Request

AGENCY: Office of Thrift Supervision,

Department of 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. Currently, the

Office of Thrift Supervision within the

Department of the Treasury is soliciting

comments concerning the Electronic

Loan Data Request Survey.

DATES: Written comments should be

received on or before May 27, 1997 to

be assured of consideration.

ADDRESSES: Send comments to Manager,

Dissemination Branch, Records

Management and Information Policy,

Office of Thrift Supervision, 1700 G

Street, NW., Washington, DC 20552,

Attention 1550–0084. These

submissions may be hand delivered to

1700 G Street, NW., from 9:00 a.m. to

5:00 p.m. on business days; they may be

sent by facsimile transmission to FAX

Number (202) 906–7755. Comments

over 25 pages in length should be sent

to FAX Number (202) 906–6956.

Comments will be available for

inspection at 1700 G Street, NW., from

9:00 a.m. until 4:00 p.m. on business

days.

FOR FURTHER INFORMATION CONTACT:

Requests for additional information

should be directed to Robyn Dennis,

Supervision, Office of Thrift

Supervision, 1700 G Street, NW.,

Washington, DC 20552, (202) 906–5751.

SUPPLEMENTARY INFORMATION:

Title: Electronic Loan Data Request

Survey.

Form Number: OTS Form 1630.

Abstract: OTS is changing a portion of

its examination process. Thrift

institutions are being asked to provide

loan information to OTS examiners

electronically. This survey will allow

OTS to determine whether the new

system reduces the burden of the on-site

examination process by providing

information on the cost, ease, and

amount of time required to prepare the

loan information electronically, in

comparison with the previous paperbased system.

Current Actions: New Collection.

Type of Review: Regular Submission.

Affected Public: Business or For

Profit.

Estimated Number of Respondents:

500.

Estimated Time Per Respondent: .25

hours.

Estimated Total Annual Burden

Hours: 125 hours.

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; (d) ways to minimize the

burden of the collection of information

on respondents, including 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.

Dated: March 21, 1997.

Catherine C. M. Teti,

Director, Records Management and

Information Policy.

[FR Doc. 97–7867 Filed 3–27–97; 8:45 am]

BILLING CODE 6720–01–P