This request for
clearance is approved for use through 6-30-82. Consider using a
National or OPM Standard Form for the collection of the information
required. For extension or revision of this approval, the
Department must provide OMB a detailed description of purpose and
use of each data element. Also identify all items that are not
entered into the computer and explain the consequence of not
collecting these items.
Inventory as of this Action
Requested
Previously Approved
06/30/1982
06/30/1982
1,500
0
0
250
0
0
0
0
0
THIS FORM IS USED TO IDENTIFY
UNFAVORABLE PRACTICES AND/OR TRENDS THAT MAY CAUSE COMPETENT
EMPLOYEES TO LEAVE THE INTERNAL REVENUE SERVICE AN TO IDENTIFY
NECESSITY FOR CORRECTIVE ACTION.
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.