[Federal Register Volume 61, Number 241 (Friday, December 13, 1996)]
[Notices]
[Page 65633]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-31697]
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DEPARTMENT OF THE TREASURY
Submission to OMB for Review; Comment Request
December 5, 1996.
The Department of 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
2110, 1425 New York Avenue, NW., Washington, DC 20220.
Internal Revenue Service (IRS)
OMB Number: 1545-1500
Form Number: IRS Form 8850
Type of Review: Extension
Title: Work Opportunity Credit Pre-Screening Notice and Certification
Request
Description: A job applicant completes and signs, under penalties of
perjury, the top portion of the form to indicate that he or she is a
member of a targeted group. If the employer has a belief that the
applicant is a member of a targeted group, the employer signs the other
portion of the form under penalties of perjury and submits it to the
state employment security agency (SESA) as part of a written request
for certification.
Respondents: Business or other for-profit, Farms
Estimated Number of Respondents/Recordkeepers: 85,000
Estimated Burden Hours Per Respondent/Recordkeeper:
Recordkeeping--2 hr., 32 min.
Learning about the law or the form--37 min.
Preparing and sending this form to the SESA--33 min.
Frequency of Response: On occasion
Estimated Total Reporting/Recordkeeping Burden: 1,480,000 hours
Clearance Officer: Garrick Shear (202) 622-3869, Internal Revenue
Service, Room 5571, 1111 Constitution Avenue, N.W., Washington, DC
20224.
OMB Reviewer: Alexander T. Hunt (202) 395-7860, Office of Management
and Budget, Room 10226, New Executive Office Building, Washington, DC
20503.
Lois K. Holland,
Departmental Reports Management Officer.
[FR Doc. 96-31697 Filed 12-12-96; 8:45 am]
BILLING CODE 4830-01-P
