THIS FORM IS AN ANNUAL INFORMATION
RETURN FOR THE WINDFALL PROFIT TAX AND IS REQUIRED BY SECTION
150.4997-2 OF THE REGULATIONS. FIRST PURCHASERS (AND ELECTING
OPERATORS) USE THIS FORM TO REPORT THE TAX INFORMATION FOR
PRODUCERS WHEN THERE IS WITHHOLDING OF WINDFALL PROFIT TAX.
PRODUCERS USE IT TO REPORT THEIR OWN PRODUCTION WHERE THERE IS NO
WITHHOLDING. (IRC SECTION 4997.) DATA IS USED TO HELP VERIFY THAT
THE REQUIRED INFORMATION HAS BEEN PROPERLY REPORTED.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.