Approved with
the change to page 7 of the instructions submitted on July 25th and
the deletion of the reference to OMB in the Privacy and Paperwork
Act Notice on page 5 of the instructions. You may omit printing the
expiration date on this form and you may continue to use prior
versions of this form. 09/01. Approved with revisions to cover to
page 15 of the instruction submitted 8/31.
Inventory as of this Action
Requested
Previously Approved
07/31/1997
07/31/1997
07/31/1996
29,327,171
0
27,627,171
38,929,046
0
34,234,261
0
0
0
THIS FORM IS USED BY CERTAIN SINGLE
INDIVIDUALS TO REPORT THEIR INCOME SUBJECT TO INCOME TAX AND TO
COMPUTE THEIR CORRECT TAX LIABILIT THE DATA IS ALSO USED TO VERIFY
THAT THE ITEMS REPORTED ON THE FORM ARE CORRECT AND ARE ALSO FOR
GENERAL STATISTICS 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.