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

# DATES:

Comments should be received on or before December 26, 2014 to be assured of consideration.

# ADDRESSES:

                        Send comments regarding the burden estimates, or any other aspect of the information collections, 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 8141, Washington, DC 20220, or email at                         *PRA@treasury.gov.*

# FOR FURTHER INFORMATION CONTACT:

                        Copies of the submissions may be obtained by emailing                         *PRA@treasury.gov,*                         calling (202) 622-1295, or viewing the entire information collection request at                         *www.reginfo.gov.*

## Internal Revenue Service (IRS)

*OMB Number:*                         1545-0119.                    

*Type of Review:*                         Revision of a currently approved collection.                    

*Title:*                         Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.                    

*Form:*                         Form 1099-R.                    

*Abstract:*                         Form 1099-R is used to report distributions from pensions, annuities, profit-sharing or retirement plans, IRAs, and the surrender of insurance contracts. This information is used by IRS to verify that income has been properly reported by the recipient.                    

*Affected Public:*                         Businesses or other for-profits.                    

*Estimated Annual Burden Hours:*                         37,519,860.                    

*OMB Number:*                         1545-1921.                    

*Type of Review:*                         Extension without change of a currently approved collection.                    

*Title:*                         Form 12114—Continuation Sheet for Item #16 (Additional Information) OF-306, Declaration for Federal Employment.                    

*Form:*                         Form 12114.                    

*Abstract:*                         Form 12114 is used as a continuation to Optional Form 306 (OF-306), Declaration for Federal Employment, to provide space for capturing additional information to item #16.                    

*Affected Public:*                         Individuals or households.                    

*Estimated Annual Burden Hours:*                         6,203.                    

Brenda Simms,

Treasury PRA Clearance Officer.

[FR Doc. 2014-28040 Filed 11-25-14; 8:45 am]

BILLING CODE 4830-01-P