[Federal Register Volume 74, Number 94 (Monday, May 18, 2009)]
[Notices]
[Pages 23240-23241]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-11449]


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DEPARTMENT OF THE TREASURY

Internal Revenue Service


Proposed Collection; Comment Request for Form 14039 and 14039-SP

AGENCY: Internal Revenue Service (IRS), Treasury.

ACTION: Notice and request for comments.

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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

[[Page 23241]]

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 14039, Identity Theft Affidavit, and Form 
14039-SP, Declaraci[oacute]n Jurada sobre el Robo de Identidad.

DATES: Written comments should be received on or before July 17, 2009 
to be assured of consideration.

ADDRESSES: Direct all written comments to Glenn P. Kirkland, 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 R. Joseph 
Durbala, (202) 622-3634, at Internal Revenue Service, Room 6129, 1111 
Constitution Avenue, NW., Washington, DC 20224, or through the Internet 
at <a href="/cdn-cgi/l/email-protection#e7b5ad889482978fc9a3929585868b86a78e9594c9808891"><span class="__cf_email__" data-cfemail="c6948ca9b5a3b6aee882b3b4a4a7aaa786afb4b5e8a1a9b0">[email protected]</span></a>.

SUPPLEMENTARY INFORMATION: 
    Title: Identity Theft Affidavit, and Declaraci[oacute]n Jurada 
sobre el Robo de Identidad.
    OMB Number: 1545-2139.
    Form Number: Form 14039 and Form 14039-SP.
    Abstract: The primary purpose of these forms is to provide a method 
of reporting identity theft issues to the IRS so that the IRS may 
document situations where individuals are or may be victims of identity 
theft. Additional purposes include the use in the determination of 
proper tax liability and to relieve taxpayer burden. The information 
may be disclosed only as provided by 26 U.S.C. 6103.
    Current Actions: There is no change in the paperwork burden 
previously approved by OMB. This form is being submitted for renewal 
purposes only.
    Type of Review: Extension of a currently approved collection.
    Affected Public: Individuals or Households.
    Estimated Number of Respondents: 100,000.
    Estimated Time Per Respondent: 15 minutes.
    Estimated Total Annual Burden Hours: 25,000.
    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: April 29, 2009.
R. Joseph Durbala,
IRS Reports Clearance Officer.
[FR Doc. E9-11449 Filed 5-15-09; 8:45 am]
BILLING CODE 4830-01-P


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