Document Headings

                    Document headings vary by document type but may contain                    the following:                  
                -                       the agency or agencies that issued and signed a document                    
                -                       the number of the CFR title and the number of each part                      the document amends, proposes to amend, or is directly                      related to                    
                -                       the agency docket number / agency internal file number                    
                -                       the RIN which identifies each regulatory action listed in                      the Unified Agenda of Federal Regulatory and Deregulatory                      Actions                    

                    See the                                          Document Drafting Handbook                                        for more details.                  

###### Department of the Treasury

The Department of the Treasury has submitted the following public information collection requirement(s) to OMB for review and clearance under the Paperwork Reduction Act of 1995, Public Law 104-13. Copies of the submission(s) 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 Department Clearance Officer, Department of the Treasury, Room 11000, 1750 Pennsylvania Avenue, NW., Washington, DC 20220. 

*Dates:*                     Written comments should be received on or before October 14, 2005 to be assured of consideration.                 

## Internal Revenue Service (IRS) 

*OMB Number:*                     1545-1008.                 

*Type of Review:*                     Revision.                 

*Title:*                     Passive Activity Loss Limitations.                 

*Form:*                     IRS form 8582.                 

*Description:*                     Under Internal Revenue Code section 469, losses from passive activities, to the extent that they exceed income from passive activities, cannot be deducted against nonpassive income. Form 8582 is used to figure the passive activity loss allowed and the loss to be reported on the tax return.                 

*Respondents:*                     Individuals or Households, Business or other-for-profit and Farms.                 

*Estimated Total Burden Hours:*                     17,435,949 hours.                 

*OMB Number:*                     1545-0126.                 

*Type of Review:*                     Revision.                 

*Title:*                     U.S. Income Tax Return of a Foreign Corporation.                 

*Form:*                     IRS form 1120-F.                 

*Description:*                     Form 1120-F is used by foreign corporations that have                           ( print page 54445)                        investments, or a business or a branch in the U.S. The IRS uses Form 1120-F to determine if the foreign corporation has correctly reported its income, deductions and tax, and to determine if it has paid the correct amount of tax.                 

*Respondents:*                     Business or other for profit.                 

*Estimated Total Burden Hours:*                     4,793,792 hours.                 

*OMB Number:*                     1545-1518.                 

*Type of Review:*                     Extension.                 

*Title:*                     HSA, Archer MSA or Medicare Advantage MSA Information.                 

*Form:*                     IRS form 5498-SA.                 

*Description:*                     Section 220(h) requires trustees to report to the IRS and medical savings accountholders contributions to and the year-end fair market value of any contributions made to a medical savings account (MSA). Congress requires Treasury to report to them the total contributions made to an MSA for the current tax year. Section 1201 of the Medicare prescription Drug, Improvement and Modernization Act of 2003 (Pub. L. 108-173) created new Code section 223 and section 223(h) requires the reporting of contributions to and the year-end fair market value of health savings accounts for tax years beginning after December 21, 2003.                 

*Respondents:*                     Business or other for-profit.                 

*Estimated Total Burden Hours:*                     6,988 hours.                 

*OMB Number:*                     1545-1793.                 

*Type of Review:*                     Extension.                 

*Title:*                     Rev. Proc. 2002-43 Determination of Substitute Agent for a Consolidated Group.                 

*Description:*                     The information is needed in order for (i) a terminating common parent of a consolidated group to notify the IRS that it will terminate and to designate another corporation to be the group's substitute agent, pursuant to Treas. Reg. Section 1.1502-77(d)(1) or Section 1.1502-77A(d); (ii) the remaining members of a consolidated group to designate a substitute agent pursuant to section 1.1502-77(d); (iii) the default substitute agent to notify the IRS that it is the default substitute agent pursuant to section 1.1502-77(d)(2); or (iv) requests by a member of the group for the IRS to designate a substitute agent or replace a previously designated substitute agent. The IRS will use the information to determine whether to approve the designation (if approval is required), to designate a substitute agent, or to replace a substitute agent, and to change the IRS records to reflect the name and other information about the substitute agent.                 

*Respondents:*                     Business or other for-profit.                 

*Estimated Total Burden Hours:*                     400 hours.                 

*OMB Number:*                     1545-1941.                 

*Type of Review:*                     Extension.                 

*Title:*                     Consumer Cooperative Exemption Application.                 

*Form:*                     IRS form 3491.                 

*Description:*                     A cooperative uses Form 3491 to apply for exemption from filing information returns (Form 1099-PATR) on patronage distributions of $10 or more to any person during the calendar year.                 

*Respondents:*                     Business or other for-profit, Individuals or households and Farms.                 

*Estimated Total Burden Hours:*                     148 hours.                 

*Clearance Officer:*                     Glenn P. Kirkland (202) 622-3428; Internal Revenue Service, Room 6516, 1111 Constitution Avenue, NW., Washington, DC 20224.                

*OMB Reviewer:*                     Alexander T. Hunt (202) 395-7316; Office of Management and Budget, Room 10235, New Executive Office Building, Washington, DC 20503.                

Michael A. Robinson, 

Treasury PRA Clearance Officer. 

[FR Doc. 05-18183 Filed 9-13-05; 8:45 am] 

BILLING CODE 4830-01-P