This form is
approved for one year. When requesting extension please consider
using a simple certification as to the amount deposited and
eliminate item 3. This appears to be within the statute for
automatic extensions. na
Inventory as of this Action
Requested
Previously Approved
02/28/1983
02/28/1983
12/31/1981
880,000
0
857,000
584,408
0
529,000
0
0
0
FORM 7004 IS USED BY A CORPORATION TO
REQUEST AN AUTOMATIC 3-MONTH EXTENSION OF TIME TO FILE ITS INCOME
TAX RETURN. THE INFORMATION IS NEEDED BY IRS TO DETERMINE WHETHER
FORM 7004 WAS TIMELY FILED SO AS NO TO IMPOSE A LATE FILING PENALTY
IN ERROR AND ALSO TO INSURE THAT THE PROPER AMOUNT OF TAX WAS
COMPUTED AND DEPOSITED.
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.