You may omit
printing the expiration date on this form. Also, you may continue
to use prior versions of this form. ICW dated 7/15. Approved on the
assumption that line 7 will be the place to write in capital gains
distributions similar to the treatment in Form 1040. An instruction
should be added for line 7 to reflect this treatment.
Inventory as of this Action
Requested
Previously Approved
09/30/1996
09/30/1996
10/31/1993
800
0
800
1,736
0
1,736
0
0
0
USED BY U.S. CITIZENS OR RESIDENTS AS
AN ATTACHMENT TO FORM 1040 WHEN THEY HAVE VIRGIN ISLANDS SOURCE
INCOME. THE DATA IS USED BY IRS TO VERIFY THE AMOUNT CLAIMED ON
FORM 1040 FOR TAXES PAID TO THE VIRGIN ISLANDS.
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.