The Department of Treasury has submitted the following public information collection requirement(s) to OMB for review and clearance under the Paperwork Reduction Act of 1995, Public Law 104-13. Copies of the submission(s) may be obtained by calling the Treasury Bureau Clearance Officer listed. Comments regarding this information collection should be addressed to the OMB reviewer listed and to the Treasury Department Clearance Officer, Department of the Treasury, Room 2110, 1425 New York Avenue, NW., Washington, DC 20220.
Dates: Written comments should be received on or before November 6, 2002 to be assured of consideration.
Internal Revenue Service (IRS)
OMB Number: 1545-1518.
Form Number: IRS Form 5498-MSA.
Type of Review: Extension.
Title: MSA or Medicare+Choice MSA Information.
Description: Form 5498-MSA is used to report contributions to a medical savings account as set forth in section 220(h).
Respondents: Business or other for-profit.
Estimated Number of Respondents: 16,442.
Estimated Burden Hours Per Respondent: 10 minutes.
Frequency of Response: Annually.
Estimated Total Reporting Burden: 6,988 hours.
Clearance Officer: Glenn Kirkland (202) 622-3428, Internal Revenue Service, Room 6411-03, 1111 Constitution Avenue, NW., Washington, DC 20224.
OMB Reviewer: Joseph F. Lackey, Jr. (202) 395-7316, Office of Management and Budget, Room 10235, New Executive Office Building, Washington, DC 20503.
Mary A. Able,
Departmental Reports Management Officer.
[FR Doc. 02-25361 Filed 10-4-02; 8:45 am]
BILLING CODE 4830-01-P