Approved through
February 1993. You may continue to use the current stock of forms
6249 as long as an anouncement of the extension of approval is
distributed with the form or the corrected expiration date is
stamped on forms to be distributed to the public.
Inventory as of this Action
Requested
Previously Approved
02/28/1993
02/28/1993
02/28/1990
1,000
0
75,000
53,790
0
4,034,250
0
0
0
FORM 6249 IS FILED BY INDIVIDUALS AND
OTHER ENTITIES TO CLAIM A CREDIT OR REFUND FOR OVERPAID WINDFALL
PROFIT TAX. THE IRS USES FORM 6249 TO DETERMINE IF THESE CREDITS OR
OVERPAYMENTS ARE CORRECT. IRS ALSO USES FORM 6249 TO PROVIDE
INFORMATION TO THE TREASURY DEPARTMENT FOR THEIR STATISTICAL
USE.
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.