Federal Register / Vol. 79, No. 201 / Friday, October 17, 2014 / Notices 62519 

By the Board, Rachel D. Campbell, 

Director, Office of Proceedings. 

Brendetta S. Jones, 

Clearance Clerk. 

[FR Doc. 2014–24731 Filed 10–16–14; 8:45 am] 

BILLING CODE 4915–01–P 

DEPARTMENT OF THE TREASURY 

Submission for OMB Review; 

Comment Request 

October 14, 2014. 

The Department of the Treasury will 

submit the following information 

collection requests to the Office of 

Management and Budget (OMB) for 

review and clearance in accordance 

with the Paperwork Reduction Act of 

1995, Public Law 104–13, on or after the 

date of publication of this notice. 

DATES: Comments should be received on 

or before November 17, 2014 to be 

assured of consideration. 

ADDRESSES: Send comments regarding 

the burden estimate, or any other aspect 

of the information collection, including 

suggestions for reducing the burden, to 

(1) Office of Information and Regulatory 

Affairs, Office of Management and 

Budget, Attention: Desk Officer for 

Treasury, New Executive Office 

Building, Room 10235, Washington, DC 

20503, or email at OIRA_Submission@

OMB.EOP.gov and (2) Treasury PRA 

Clearance Officer, 1750 Pennsylvania 

Ave. NW., Suite 8140, Washington, DC 

20220, or email at PRA@treasury.gov. 

FOR FURTHER INFORMATION CONTACT: 

Copies of the submission(s) may be 

obtained by calling (202) 927–5331, 

email at PRA@treasury.gov, or the entire 

information collection request may be 

found at www.reginfo.gov. 

Internal Revenue Service (IRS) 

OMB Number: 1545–0094. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Title: U.S. Information Return-Trust 

Accumulation of Charitable Amounts. 

Form: 1041–A. 

Abstract: Form 1041–A is used to 

report the information required in 26 

U.S.C. 6034 concerning accumulation 

and distribution of charitable amounts. 

The data is used to verify that amounts 

for which a charitable deduction was 

allowed are used for charitable 

purposes. 

Affected Public: Private Sector: 

Businesses or other for-profits. 

Estimated Annual Burden Hours: 

4,396,854. 

OMB Number: 1545–0748. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Title: Employer/Payer Appointment 

of Agent. 

Form: 2678. 

Abstract: Title 26 U.S.C. 3504 

authorizes an employer to designate a 

fiduciary, agent, etc., to perform the 

same acts as required of employers for 

purposes of employment taxes. Form 

2678 is used by an employer to notify 

the Director, Internal Revenue Service 

Center, of the appointment of an agent 

to pay wages on behalf of the employer. 

In addition, the completed form is an 

authorization to withhold and pay taxes 

via Form 941, Employer’s Quarterly 

Federal Tax Return, for the employees 

involved. 

Affected Public: Private Sector: 

Businesses or other for-profits, Not-forprofit institutions. 

Estimated Annual Burden Hours: 

13,731,200. 

OMB Number: 1545–2254. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Title: Statement of Liability of Lender, 

Surety, or Other Person for Withholding 

Taxes. 

Form: 4219. 

Abstract: Third parties who directly 

pay another’s payrolls can be held liable 

for the full amount of taxes required to 

be withheld but not paid to the 

Government (subject to the 25% 

limitation). Internal Revenue Code 3505 

deals with persons who supply funds to 

an employer for the purpose of paying 

wages. The notification that a third 

party is paying or supplying wages will 

be made by filing the Form 4219, 

Statement of Liability of Lender, Surety, 

or Other Person for Withholding Taxes, 

and is to be submitted and associated 

with each employer for every calendar 

quarter for which a liability under 

section 3505 is incurred. 

Affected Public: Private Sector: 

Businesses or other for-profits, Farms, 

Not-for-profit institutions. 

Estimated Annual Burden Hours: 

12,833. 

Dawn D. Wolfgang, 

Treasury PRA Clearance Officer. 

[FR Doc. 2014–24763 Filed 10–16–14; 8:45 am] 

BILLING CODE 4830–01–P 

DEPARTMENT OF TREASURY 

Office of the General Counsel; 

Appointment of Members of the Legal 

Division to the Performance Review 

Board, Internal Revenue Service 

Under the authority granted to me as 

Chief Counsel of the Internal Revenue 

Service by the General Counsel of the 

Department of the Treasury by General 

Counsel Directive 15, pursuant to the 

Civil Service Reform Act, I have 

appointed the following persons to the 

Legal Division Performance Review 

Board, Internal Revenue Service Panel: 

1. Chairperson, Erik Corwin, Deputy 

Chief Counsel (Technical) 

2. John Moriaty, Deputy Associate Chief 

Counsel (Income Tax and 

Accounting) 

3. Ted Cronin, Division Counsel 

(Criminal Tax) 

4. Tom Vidano, Deputy Division 

Counsel (Large Business and 

International) 

5. Curtis G. Wilson, Associate Chief 

Counsel (Passthroughs and Special 

Industries) 

Alternate—Linda Horowitz, Deputy 

Associate Chief Counsel (General 

Legal Services) 

This publication is required by 5 

U.S.C. 4314(c)(4). 

Dated: October 8, 2014. 

William J. Wilkins, 

Chief Counsel, Internal Revenue Service. 

[FR Doc. 2014–24654 Filed 10–16–14; 8:45 am] 

BILLING CODE 4380–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

Wait-Time Goals of the Department for 

the Veterans Choice Program 

AGENCY: Department of Veterans Affairs. 

ACTION: Notice. 

SUMMARY: The Veterans Access, Choice, 

and Accountability Act of 2014 directs 

the Department of Veterans Affairs (VA) 

to establish a program (the ‘‘Veterans 

Choice Program’’) to furnish hospital 

care and medical services through nonVA health care entities and providers to 

Veterans who either cannot be seen 

within the ‘‘wait-time goals of the 

Veterans Health Administration’’ or 

who qualify based on their place of 

residence. The statute defines the goals 

as being ‘‘not more than 30 days from 

the date on which a veteran requests an 

appointment for hospital care or 

medical services from the Department’’ 

but also permits VA to establish another 

standard by submitting to Congress a 

report stating that VA’s actual goals are 

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