THIS FORM IS REQUIRED UNDER P.L.
94-241, COVENANT TO ESTABLISH A COMMONWEALTH WITH THE U.S. IT IS
USED BY EMPLOYERS AND SELF-EMPLOYED PERSONS TO REPORT EARNINGS AND
TAXES DUE TO THE NORTHERN MARIANA ISLANDS SOCIAL SECURITY
RETIREMENT SYSTEM. INFORMATION IS USED TO DETERMINE THAT THE
CORRECT TAX HAS BEEN PAID AND THAT THE EARNINGS OF THE EMPLOYEES
HAS BEEN PROPERTY TO THE NMI SOCIAL SECURITY RETIREMENT
SYSTEM.
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.