Although this
form is used by individual and other taxpayers, it is not used when
preparing an individual tax return. The portion of the burden
imposed on individual taxpayers will therefore not be approved
under OMB Control Number 1545-0074. In its next submission of this
information collection, the agency is instructed to provide the
Line of Business and Subfunction under the Federal Enterprise
Architecture Business Reference Module.
Inventory as of this Action
Requested
Previously Approved
10/31/2009
36 Months From Approved
10/31/2006
100
0
100
560
0
560
0
0
0
Form 8876 is used to report structured
settlement transactions and pay the applicable excise tax.
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.