Federal Register / Vol. 80, No. 10 / Thursday, January 15, 2015 / Notices 2181 

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 5, 2015. 

Christie Preston, 

IRS Reports Clearance Officer. 

[FR Doc. 2015–00476 Filed 1–14–15; 8:45 am] 

BILLING CODE 4830–01–P 

DEPARTMENT OF THE TREASURY 

Internal Revenue Service 

Proposed Collection; Comment 

Request for Forms 12339, 12339–B, 

12339–C, and 13775. 

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 Forms 

12339, Internal Revenue Service 

Advisory Council Membership 

Application; 12339–B, Information 

Reporting Program Advisory Committee 

Membership Application, 12339–C, 

Advisory Committee on Tax Exempt 

and Government Entities—Membership 

Application, and Form 13775, Tax 

Check Waiver. 

DATES: Written comments should be 

received on or before March 16, 2015 to 

be assured of consideration. 

ADDRESSES: Direct all written comments 

to Christie Preston, 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 Kerry Dennis, 

Internal Revenue Service, Room 6129, 

1111 Constitution Avenue NW., 

Washington, DC 20224, or through the 

internet at Kerry.Dennis@irs.gov. 

SUPPLEMENTARY INFORMATION: 

Title: Membership Applications for 

Advisory Councils, IRSAC (Internal 

Revenue Service Advisory Council), and 

IRPAC (Information Reporting Program 

Advisory Committee), and Tax Check 

Waiver. 

OMB Number: 1545–1791. 

Form Numbers: 12339, 12339–B, 

12339–C, & 13775. 

Abstract: Form 12339–C was created 

to better solicit and maintain all of the 

applicant information for those 

interested in becoming members of 

these Advisory Councils. Form 12339 

must be completed by those individuals 

interested in applying for IRSAC. Form 

12339–B must be completed by those 

interested in applying for IRPAC. Each 

form is submitted in conjunction with 

Form 13775, Tax Check Waiver, which 

authorizes the Government Liaison 

Disclosure analysts to provide the tax 

compliance check results to the 

appropriate IRS officials. 

Current Actions: There are no changes 

being made to the forms at this time. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Individuals or 

households, and businesses or other forprofit organizations. 

Estimated Number of Respondents: 

550. 

Estimated Time per Response: 50 min. 

Estimated Total Annual Burden 

Hours: 492. 

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 5, 2015. 

Christie Preston, 

IRS Reports Clearance Officer. 

[FR Doc. 2015–00475 Filed 1–14–15; 8:45 am] 

BILLING CODE 4830–01–P 

DEPARTMENT OF THE TREASURY 

Internal Revenue Service 

Proposed Collection: Comment 

Request for Form 4669 

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 

4669, Statement of Payments Received. 

DATES: Written comments should be 

received on or before March 16, 2015 to 

be assured of consideration. 

ADDRESSES: Direct all written comments 

to Christie Preston, 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 Kerry Dennis at 

Internal Revenue Service, Room 129, 

1111 Constitution Avenue NW., 

Washington DC 20224, or through the 

internet, at Kerry.Dennis@irs.gov. 

SUPPLEMENTARY INFORMATION: 

Title: Statement of Payments 

Received. 

OMB Number: 1545–XXXX. 

Form Number: 4669. 

Abstract: Form 4669 is used by payors 

in specific situations to request relief 

from payment of certain required taxes. 

A payor who fails to withhold certain 

required taxes from a payee may be 

entitled to relief, under sections 

3402(d), 3102(f)(3), 1463 or Regulations 

section 1.1474–4. To apply for relief, a 

payor must show that the payee 

reported the payments and paid the 

corresponding tax. To secure relief as 

described above, a payor must obtain a 

separate, completed Form 4669 from 


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