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Sample records for request form clinical

  1. Request form history, clinical indication, and yield of brain magnetic resonance studies.

    PubMed

    Pack, Jason R; Yuh, William T C; Sonnad, J R; Maley, Joan E; Petropoulou, Kalliopi; Wegner, Kenneth F; Loftus, Christopher M; Mayr, Nina A; Whitehead, Donald P; Maier, Gerald J

    2004-08-01

    To investigate whether improved clinical history allows the radiologist to better predict the pretest probability of obtaining a positive or negative result from a magnetic resonance (MR) examination. Six neuroradiologists prospectively reviewed 100 consecutive requests for brain MR examinations and sequentially assessed 1) quality of written history, 2) degree of indication for requested study, and 3) any pertinent new information found during chart review that may have altered the degree of indication. MR yield was correlated with the degree of indication assessed before and after chart review. Most request form histories were judged as poor (63%), and chart review reduced the overall indications for MR examinations, as there was a tendency for high-indication requests to migrate to the low-indication category. Based on request form history alone, the yields for low- and high-indication studies were 13% and 37%, respectively. Correlations between MR yield and indication after chart review improved significantly (P < 0.05) with 2% and 61% for low and high indications, respectively. Sensitivity and specificity for a positive MR yield were 71% and 62%, respectively, for the indication judged by the request history alone, and 96% and 80%, respectively, after chart review. Positive and negative prediction rates were 37% and 87%, respectively, for the indication judged by the request history alone, and 61% and 98%, respectively, for the indication judged after chart review. Based on our limited data, most request form histories were inadequate, and essential information available in the chart before MR examinations was frequently missing from the request forms. When adequate information was provided, the indication for the studies as judged by the radiologists predicted the MR yield more accurately, particularly for those requests with low indication. Therefore, our study suggests that MR imaging (MRI) may be used more effectively when pertinent clinical history is

  2. The test request form: a neglected route for communication between the physician and the clinical chemist?

    PubMed Central

    Henderson, A R

    1982-01-01

    The requirements for a clinical biochemistry test request form are reviewed. The interaction between the configuration of the main analysers and the number of individual tests, or profiles, that are ordered using different request form formats were monitored for three-month periods over a three-year period while the main analysers were being "reconfigured" or replaced. Although there was a significant increase in orders for individual tests (compared to profile requests) required on outpatients this did not occur with the inpatient ordering pattern. Instead, the numbers of discretionary tests dropped and more miniprofiles--for example, the electrolyte group, were ordered, although the total number of profiles (per patient day) did not increase because the "electrolyte-urea-creatinine" profile numbers markedly decreased during rhe period of the study. This shift in ordering patterns was assumed to be due to the faster turnaround of "priority" (emergency) test requests which could, due to improved instrumentation, be analysed as quickly as individual test requests. Glucose was dropped from the major profile and the numbers of discretionary glucose requests did not increase. It was concluded that, providing this single test can be performed efficiently, there is no need for glucose to be included in test profiles. PMID:7119131

  3. What Is Asked in Clinical Data Request Forms? A Multi-site Thematic Analysis of Forms Towards Better Data Access Support

    PubMed Central

    Hanauer, David A; Hruby, Gregory W.; Fort, Daniel G.; Rasmussen, Luke V.; Mendonça, Eneida A.; Weng, Chunhua

    2014-01-01

    Many academic medical centers have aggregated data from multiple clinical systems into centralized repositories. These repositories can then be queried by skilled data analysts who act as intermediaries between the data stores and the research teams. To obtain data, researchers are often expected to complete a data request form. Such forms are meant to support record-keeping and, most importantly, provide a means for conveying complex data needs in a clear and understandable manner. Yet little is known about how data request forms are constructed and how effective they are likely to be. We conducted a content analysis of ten data request forms from CTSA-supported institutions. We found that most of the forms over-emphasized the collection of metadata that were not considered germane to the actual data needs. Based on our findings, we provide recommendations to improve the quality of data request forms in support of clinical and translational research. PMID:25954367

  4. What Is Asked in Clinical Data Request Forms? A Multi-site Thematic Analysis of Forms Towards Better Data Access Support.

    PubMed

    Hanauer, David A; Hruby, Gregory W; Fort, Daniel G; Rasmussen, Luke V; Mendonça, Eneida A; Weng, Chunhua

    2014-01-01

    Many academic medical centers have aggregated data from multiple clinical systems into centralized repositories. These repositories can then be queried by skilled data analysts who act as intermediaries between the data stores and the research teams. To obtain data, researchers are often expected to complete a data request form. Such forms are meant to support record-keeping and, most importantly, provide a means for conveying complex data needs in a clear and understandable manner. Yet little is known about how data request forms are constructed and how effective they are likely to be. We conducted a content analysis of ten data request forms from CTSA-supported institutions. We found that most of the forms over-emphasized the collection of metadata that were not considered germane to the actual data needs. Based on our findings, we provide recommendations to improve the quality of data request forms in support of clinical and translational research.

  5. INDIPAY Financial Data Request Forms

    EPA Pesticide Factsheets

    The INDIPAY financial data request form requires the individual to provide financial information to support its claim of inability to pay the civil penalty. Both an English and Spanish version are provided.

  6. Improving the quality of information on pathology request forms.

    PubMed

    Burnett, Leslie; Chesher, Douglas; Mudaliar, Yugan

    2004-01-01

    We have investigated the causes of incomplete pathology request forms received at our clinical chemistry laboratory. Based on a request form audit we found that the data most frequently missing from a pathology request form was the doctor's name, unique identification provider number, or signature. We examined the effect of issuing the requesting doctors with self-inking stamps personalized with their name and a unique provider number. The intervention led to an immediate and sustained improvement in compliance, with the proportion of incomplete forms falling from 43% to 2%. In contrast, distribution of a memorandum alone made no significant change to the number of pathology request forms with incomplete data arriving at the laboratory. This study describes a simple and low-cost solution to one of the causes of incomplete pathology request forms. It also demonstrates the effectiveness of systems improvement in health care.

  7. RASD's New Interlibrary Reference Request Form.

    ERIC Educational Resources Information Center

    American Libraries, 1985

    1985-01-01

    Introduces information request form developed by Cooperative Reference Services Committee of American Library Association's Reference and Adult Services Division to be used whenever a library cannot supply information requested by a patron and would like to ask another library for assistance. Front of proposed form with sample question is shown.…

  8. Beware The smerf: suboptimally made electronic request form.

    PubMed

    Maywald, Rachel; Bettington, Mark; Lehane, Fiona; Armes, Jane; Lourie, Rohan

    2012-06-01

    To assess the impact of use of Electronic Request Forms (ERFs) on the amount of clinical information accompanying placentas for histopathology in a tertiary public hospital. In 2009 Mater Pathology Services introduced a 'tick box' dedicated placental request form (DPRF) which significantly increased the amount of clinical information provided with placentas sent for histopathology. In 2011 ERFs were introduced across the campus, replacing the DPRF. Histopathology request forms from sequential accessions of placentas were evaluated for number of pieces of clinically relevant information, defined as data that would change specimen handling or information that was used for clinicopathological correlation. ERF were compared to two control groups from different years: consecutive DPRF from 2009 and consecutive accessions using standard blank pathology request forms from 2006. Each request form was assessed by at least two authors. Use of the ERF significantly decreased the number of items of useful clinical information provided, compared to the DPRF (mean of 2.6 vs 1.3 items, p = 0.0004). Provision of relevant clinical information declined to the level seen prior to the introduction of the DPRF. ERFs may improve quality by reducing error, but also change clinician behaviour, resulting in provision of fewer items of useful clinical information to guide specimen handling, pathology reporting and clinicopathological correlation. Copyright © 2012 Royal College of Pathologists of Australasia. Published by Elsevier B.V. All rights reserved.

  9. 77 FR 16588 - Proposed Collection; Comment Request for Form 8023

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-21

    ... 20224. FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of the form and... Internal Revenue Service Proposed Collection; Comment Request for Form 8023 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY: The Department of the Treasury...

  10. Evaluation of request forms submitted to the haematology laboratory in a Ghanaian tertiary hospital.

    PubMed

    Olayemi, Edeghonghon; Asiamah-Broni, Rebecca

    2011-01-01

    Laboratory request forms provide information about the laboratory test being requested for. They carry demographic data and other information such as location of patient, laboratory number, doctor's name, signature of the doctor, telephone number of the requesting doctor. Omission of information on the forms may lead to laboratory errors. The aim of this study was to evaluate the level of completion of laboratory request forms at the haematology department of a Ghanaian tertiary hospital. Three thousand request forms submitted to the haematology department between January and April 2010 were retrieved and studied. The information provided on each request form was recorded in a spread sheet and analyzed. The patient's age and sex were missing in 25.6% and 32.7% of the forms respectively. About half of the request forms did not have the patient's location. No clinical detail was provided on 22.7% of the forms. Doctors were more likely to sign their request forms and provide a name but they all failed to provide an address or a contact telephone number. This study demonstrates that, the standard of completion of request forms was poor. Essential information required on the forms was often missing. This can lead to limited advice given by laboratory physicians and may increase the potential for errors. Conversely, provision of all the information needed on the forms will aid laboratory diagnosis and enhance patient care and save time and resources. There should be closer interaction between clinicians and laboratory personnel to improve quality of services.

  11. An audit of request forms submitted in a multidisciplinary diagnostic center in Lagos.

    PubMed

    Oyedeji, Olufemi Abiola; Ogbenna, Abiola Ann; Iwuala, Sandra Omozehio

    2015-01-01

    Request forms are important means of communication between physicians and diagnostic service providers. Pre-analytical errors account for over two thirds of errors encountered in diagnostic service provision. The importance of adequate completion of request forms is usually underestimated by physicians which may result in medical errors or delay in instituting appropriate treatment. The aim of this study was to audit the level of completion of request forms presented at a multidisciplinary diagnostic center. A review of all requests forms for investigations which included radiologic, laboratory and cardiac investigations received between July and December 2011 was performed to assess their level of completeness. The data was entered into a spreadsheet and analyzed. Only 1.3% of the 7,841 request forms reviewed were fully completed. Patient's names, the referring physician's name and gender were the most completed information on the forms evaluated with 99.0%, 99.0% and 90.3% completion respectively. Patient's age was provided in 68.0%, request date in 88.2%, and clinical notes/ diagnosis in 65.9% of the requests. Patient's full address was provided in only 5.6% of requests evaluated. This study shows that investigation request forms are inadequately filled by physicians in our environment. Continuous medical education of physicians on the need for adequate completion of request forms is needed.

  12. An audit of request forms submitted in a multidisciplinary diagnostic center in Lagos

    PubMed Central

    Oyedeji, Olufemi Abiola; Ogbenna, Abiola Ann; Iwuala, Sandra Omozehio

    2015-01-01

    Introduction Request forms are important means of communication between physicians and diagnostic service providers. Pre-analytical errors account for over two thirds of errors encountered in diagnostic service provision. The importance of adequate completion of request forms is usually underestimated by physicians which may result in medical errors or delay in instituting appropriate treatment. The aim of this study was to audit the level of completion of request forms presented at a multidisciplinary diagnostic center. Methods A review of all requests forms for investigations which included radiologic, laboratory and cardiac investigations received between July and December 2011 was performed to assess their level of completeness. The data was entered into a spreadsheet and analyzed. Results Only 1.3% of the 7,841 request forms reviewed were fully completed. Patient's names, the referring physician's name and gender were the most completed information on the forms evaluated with 99.0%, 99.0% and 90.3% completion respectively. Patient's age was provided in 68.0%, request date in 88.2%, and clinical notes/ diagnosis in 65.9% of the requests. Patient's full address was provided in only 5.6% of requests evaluated. Conclusion This study shows that investigation request forms are inadequately filled by physicians in our environment. Continuous medical education of physicians on the need for adequate completion of request forms is needed. PMID:26309456

  13. Improvement in medical consultation responses with a structured request form.

    PubMed

    Geist, Shin-Mey Rose Y; Geist, James R

    2008-05-01

    Physicians often do not provide adequate information regarding patients' medical conditions when presented with consultation requests (CR) generated by dental students and their instructors about the students' patients. We hypothesized that a structured CR form, which requests specific information by providing a checklist and/or closed-ended questions for physicians to answer, would lead to better communication and improved responses. We also hypothesized that providing in-service education to clinical faculty on the conditions that require and don't require CRs would reduce the number of unwarranted CRs sent to physicians. We assessed the responses obtained with the new form and compared them to findings over a similar period using our older, unstructured CR forms. We also evaluated the numbers of CRs written unnecessarily during both time periods. Improvements in the appropriateness of information provided by physicians were noted with the new CR forms for diabetes mellitus, hypertension, heart murmur, and anticoagulant therapy. The number of CRs written for conditions that did not need a consultation was approximately the same after provision of instruction as before. We conclude that structured CR forms improve the flow of information between dentists and physicians and should enhance student knowledge and skills in soliciting relevant information. Greater efforts must be taken to inform clinical faculty about the indications for CRs.

  14. 77 FR 64850 - Proposed Collection; Comment Request for Form 5558

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-23

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 5558 AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 5558, Application for Extension... FURTHER INFORMATION CONTACT: Requests for additional information or copies of the form and...

  15. 78 FR 16362 - Proposed Collection; Comment Request for Form 6497

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-14

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 6497 AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 6497, Information Return of... FURTHER INFORMATION CONTACT: Requests for additional information or copies of the form and...

  16. 75 FR 28777 - Information Collection; Financial Information Security Request Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-24

    ...; ] DEPARTMENT OF AGRICULTURE Forest Service Information Collection; Financial Information Security Request Form... organizations on the extension with revision of a currently approved information collection; Financial Information Security Request Form. DATES: Comments must be received in writing on or before July 23, 2010 to...

  17. 75 FR 38871 - Proposed Collection; Comment Request for Form 8866

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-06

    ... Request for Form 8866 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8866, Interest Computation Under the Look-Back Method for Property Depreciated Under the...

  18. 75 FR 27861 - Proposed Collection; Comment Request for Form 970

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-18

    ... Request for Form 970 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 970, Application To Use LIFO Inventory Method. DATES: Written comments should be received on...

  19. 48 CFR 53.301-308 - Standard Form 308, Request for Determination and Response to Request.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 2 2010-10-01 2010-10-01 false Standard Form 308, Request for Determination and Response to Request. 53.301-308 Section 53.301-308 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION (CONTINUED) CLAUSES AND FORMS FORMS Illustrations of...

  20. 48 CFR 53.301-308 - Standard Form 308, Request for Determination and Response to Request.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 2 2011-10-01 2011-10-01 false Standard Form 308, Request for Determination and Response to Request. 53.301-308 Section 53.301-308 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION (CONTINUED) CLAUSES AND FORMS FORMS Illustrations of...

  1. 48 CFR 53.301-308 - Standard Form 308, Request for Determination and Response to Request.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 2 2013-10-01 2013-10-01 false Standard Form 308, Request for Determination and Response to Request. 53.301-308 Section 53.301-308 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION (CONTINUED) CLAUSES AND FORMS FORMS Illustrations of...

  2. AUDIT OF COMPLETION OF RADIOLOGY REQUEST FORM IN A NIGERIAN SPECIALIST HOSPITAL

    PubMed Central

    Afolabi, O.A.; Fadare, J.O.; Essien, E.M.

    2012-01-01

    Background: Clinical audit is one approach to improve the quality of patient care, completion of request form inclusive. Radiology request forms are essential communication tools between the clinician and the radiologist. The aim of this study is to audit the adequacy of completion of X-ray request forms. Methodology: A review of all consecutive request form received at the X-ray unit of the over a period of six weeks to assess the completeness of filling of the forms, details of biodata/clinical information, previous exposure and information about the requesting officer. The data was entered into a SPSS statistical software and analysed descriptively and results presented in tables/figures. Result: Two hundred and two request forms were analysed. All the request had names on it however 89.1% had complete and adequate information while 10.9% have incomplete and inadequate information on names, one hundred and ninety-six (97%) had dates while, 6(3%) did not have information regarding date of request, space for the addresses were filled in 80 (39.6%) out of which only 24 (11.9%) had adequate and complete information. Clinical information were adequate and complete in 34.4%, only 6(8.3%) of those with previous x-rays submitted their previous film with the new request. Conclusion: We concluded that radiological investigation forms are still incompletely and inadequately filled. This will have effect on the quality and the overall service provided by both the radiographer and the radiologist and may have effect sometimes on the clinical decision and outcome. PMID:25161413

  3. Audit of completion of radiology request form in a nigerian specialist hospital.

    PubMed

    Afolabi, O A; Fadare, J O; Essien, E M

    2012-12-01

    Clinical audit is one approach to improve the quality of patient care, completion of request form inclusive. Radiology request forms are essential communication tools between the clinician and the radiologist. The aim of this study is to audit the adequacy of completion of X-ray request forms. A review of all consecutive request form received at the X-ray unit of the over a period of six weeks to assess the completeness of filling of the forms, details of biodata/clinical information, previous exposure and information about the requesting officer. The data was entered into a SPSS statistical software and analysed descriptively and results presented in tables/figures. Two hundred and two request forms were analysed. All the request had names on it however 89.1% had complete and adequate information while 10.9% have incomplete and inadequate information on names, one hundred and ninety-six (97%) had dates while, 6(3%) did not have information regarding date of request, space for the addresses were filled in 80 (39.6%) out of which only 24 (11.9%) had adequate and complete information. Clinical information were adequate and complete in 34.4%, only 6(8.3%) of those with previous x-rays submitted their previous film with the new request. We concluded that radiological investigation forms are still incompletely and inadequately filled. This will have effect on the quality and the overall service provided by both the radiographer and the radiologist and may have effect sometimes on the clinical decision and outcome.

  4. 76 FR 47648 - Proposed Collection; Comment Request for Form 8850

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-05

    ... Certification Request for the Work Opportunity and Welfare-to-Work Credits. DATES: Written comments should be... Request for the Work Opportunity and Welfare-to-Work Credits. OMB Number: 1545-1500. Form Number: 8850... credit or the welfare-to-work credit. The work opportunity credit and the welfare-to-work credit cover...

  5. 76 FR 49836 - Proposed Collection; Comment Request for Form 8846

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-11

    ... in food or beverage establishments where tipping is customary can claim an income tax credit for the... Internal Revenue Service Proposed Collection; Comment Request for Form 8846 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY: The Department of the Treasury...

  6. 36 CFR 1120.25 - Form of requests.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Form of requests. 1120.25 Section 1120.25 Parks, Forests, and Public Property ARCHITECTURAL AND TRANSPORTATION BARRIERS COMPLIANCE.... A request must be in writing, must reasonably describe the records sought in a way that will permit...

  7. 77 FR 35478 - Proposed Collection; Comment Request for Form 911

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-13

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 911 AGENCY: Internal Revenue Service...)). Currently, the IRS is soliciting comments concerning Form 911, Application for Taxpayer Assistance Order... Taxpayer Assistance Order (ATAO). OMB Number: 1545-1504. Form Number: 911. Abstract: This form is used by...

  8. 77 FR 71036 - Proposed Collection; Comment Request for Form 4506

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-28

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 4506, Request for Copy of Tax... additional information or copies of the form and instructions should be directed to Martha R. Brinson, (202... for Copy of Tax Return. OMB Number: 1545-0429. Form Number: Form 4506. Abstract: Internal Revenue Code...

  9. 78 FR 73819 - Information Collection; Financial Information Security Request Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-09

    ... Forest Service Information Collection; Financial Information Security Request Form AGENCY: Forest Service... extension with revision of a currently approved information collection, Financial Information Security...: Comments concerning this notice should be addressed to Financial Policy, Mail Stop 1149, USDA,...

  10. 78 FR 39831 - Proposed Collection; Comment Request for Form 6524

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-02

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 6524 AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 6524, Office of Chief Counsel... additional information or copies of the form and instructions should be directed to LaNita Van Dyke,...

  11. 77 FR 64186 - Proposed Collection; Comment Request for Form 13614

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 13614 AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 13614, Interview and Intake... additional information or copies of the form and instructions should be directed to Allan Hopkins, at...

  12. 78 FR 26695 - Proposed Collection; Comment Request for Form 8819

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8819 AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8819, Dollar Election Under... additional information or copies of the form and instructions should be directed to Gerald J. Shields,...

  13. 78 FR 26695 - Proposed Collection; Comment Request for Form 6627

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 6627 AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 6627, Environmental Taxes... information or copies of the form and instructions should be directed to Gerald J. Shields at Internal...

  14. 77 FR 34460 - Proposed Collection; Comment Request for Form 14411

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 14411 AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 14411, Systemic Advocacy Issue Submission form. DATES: Written comments should be received on or before August 10, 2012 to be assured...

  15. 78 FR 16363 - Proposed Collection; Comment Request for Form 8703

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-14

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8703 AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8703, Annual Certification of a... for additional information or copies of the form and instructions should be directed to Martha...

  16. [Assessment of the completeness of medical imaging request forms in a sub-Saharan African setting].

    PubMed

    Moifo, B; Kamgnie, M Ndeh; Fointama, N Fuh; Tambe, J; Tebere, H; Fotsin, J Gonsu

    2014-01-01

    The technical quality, interpretation, and clinical utility of diagnostic imaging examinations can increase considerably when the request forms are correctly filled out. This study sought to evaluate the completeness of these request forms at the Women and Children's Hospital in Yaoundé, Cameroon, to the 8 criteria established by the French High Health Authority (HAS, France). This cross-sectional study evaluated 118 request forms for ultrasounds, 110 for conventional radiography, and 34 for computed tomography (CT scans), all completed by physicians at our university-affiliated hospital. They were sampled consecutively three days a week for several weeks, on days randomly selected at the beginning of each week, to minimize bias and ensure that as many different physicians as possible were assessed. We doubled the sample size recommended by the HAS. Conformity was defined by the presence of the required data on the request forms (data classified as either administrative or clinical). Overall, 52 request forms (19.8%) had all 5 administrative items, but only 9.2% had all 3 clinical components. Only 3 forms (1.1%) were 100% complete, including all 8 items; 85% included at least 5 components, and 35.1% had 6. The patient's last name was always included. Only 4.2% of the request forms included the prescriber's telephone number; 8% did not include the date and 17.2% (n = 45) did not state the clinical findings. On 30% of the forms, symptoms were the only clinical information listed; 23.7% (n = 62) stated the purpose of the examination (that is, the diagnosis to be confirmed or ruled out). The rate of missing information was highest in the requests for conventional radiography (49.5% compared to 38% with ultrasound and 12.3% for CT scans). The request forms for imaging examinations provided inadequate administrative and clinical data, especially those for conventional radiography. This missing information makes it harder to perform and interpret these examinations. An

  17. 75 FR 60511 - Proposed Collection; Comment Request for Form 1023

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-30

    ... Recognition of ] Exemption Under Section 501(c)(3) of the Internal Revenue Code. DATES: Comments must be... Internal Revenue Service Proposed Collection; Comment Request for Form 1023 AGENCY: Internal Revenue... collect comments on IRS Form 1023, the Department is partnering with the Internal Revenue Service (IRS)...

  18. An audit of the completion of radiology request forms and the request practice

    PubMed Central

    Akintomide, Akintunde O.; Ikpeme, Anthonia A.; Ngaji, Affiong I.; Ani, Nchiewe E.; Udofia, Appolline T.

    2015-01-01

    Objective: To assess the degree of utilization of the radiology request form (RRF), the extent of completion each form, the frequency of filling the fields in all the forms, and its effectiveness as a communication tool between the referring clinicians and radiologists. Materials and Methods: All the RRFs for conventional radiographic examinations were audited over a 3-month period. A database containing all the fields in the form, type of request paper used, and legibility of the physician's handwriting was created. A few resident radiologists in the plain film reporting unit were recruited to join in collecting the data daily. We used simple statistical methods to analyze the extent of completion of each form, frequency of completion of the fields in all the request forms, frequency of use of the appropriate form, and frequency of legibility of the physician's handwriting. The results are expressed in percentages. Results: Five hundred eighty (580) requests were analyzed, consisting of 180 for males and 400 for females. The most-completed request form was 86.67% filled, while the least-completed was 26.67%. The most frequently filled field was the requested examination (99.66%). Of the clinicians, 28% did not use the RRF for their referrals, while 7.37% had illegible handwriting. Conclusion: A significant number of the referring clinicians did not make the best use of the radiology department by not using the institution's approved RRF as an effective means of communication with the radiologists, mainly due to the inadequate completion of the forms. PMID:26288767

  19. 76 FR 36620 - Proposed Collection; Comment Request for Form 8453-F and Form 8879-F

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-22

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8453-F and Form 8879-F AGENCY... U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8453-F, U.S. Estate of Trust Income Tax Declaration and Signature for Electronic and Magnetic Made Filing and Form...

  20. 76 FR 30432 - Proposed Collection; Comment Request for Form 3115

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-25

    ... Form 3115, Application for Change in Accounting Method. DATES: Written comments should be received on...@irs.gov . SUPPLEMENTARY INFORMATION: Title: Application for Change in Accounting Method. OMB Number... have met the requirements and are able to change to the method requested. Current Actions: There are...

  1. 12 CFR 978.4 - Form of request.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Form of request. 978.4 Section 978.4 Banks and Banking FEDERAL HOUSING FINANCE BOARD MISCELLANEOUS FEDERAL HOME LOAN BANK OPERATIONS AND AUTHORITIES BANK... confidential information shall be made in writing or by such other means as may be agreed upon between the Bank...

  2. 78 FR 63566 - Proposed Collection; Comment Request for Form 8838

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-24

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8838 AGENCY: Internal Revenue... Time To Assess Tax Under Section 367-Gain Recognition Agreement. DATES: Written comments should be... comments to Yvette Lawrence, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW.,...

  3. 75 FR 40031 - Proposed Collection; Comment Request for Form 1023

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-13

    ... Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code. DATES: Comments must be... Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code. The information collection... Internal Revenue Service Proposed Collection; Comment Request for Form 1023 July 7, 2010. AGENCY:...

  4. 76 FR 21946 - Proposed Collection; Comment Request for Form 1028

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-19

    ... Recognition of Exemption Under Section 521 of the Internal Revenue Code. DATES: Written comments should be... Internal Revenue Service Proposed Collection; Comment Request for Form 1028 AGENCY: Internal Revenue... to Yvette B. Lawrence, Internal Revenue Service, Room 6129, 1111 Constitution Avenue, NW.,...

  5. 76 FR 63992 - Proposed Collection; Comment Request for Form 8894

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-14

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8894 AGENCY: Internal Revenue..., Internal Revenue Service, room 6129, 1111 Constitution Avenue, NW., Washington, DC 20224. FOR FURTHER... directed to Elaine Christophe, (202) 622-3179, at Internal Revenue Service, room 6129, 1111 Constitution...

  6. 77 FR 69707 - Proposed Collection; Comment Request for Form 4970

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-20

    ...: Requests for additional information or copies of the form and instructions should be directed to Allan... (202) 622-6665, or through the Internet at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title... provide information. Approved: November 14, 2012. Allan Hopkins, Tax Analyst. BILLING CODE 4830-01-P...

  7. 77 FR 38144 - Proposed Collection; Comment Request for Form 8902

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-26

    ...: Requests for additional information or copies of the form and instructions should be directed to Allan...., Washington, DC 20224, or through the Internet, at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title..., and purchase of services to provide information. Approved: June 19, 2012. Allan Hopkins, Tax...

  8. 78 FR 40830 - Proposed Collection; Comment Request for Form 8316

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ... CONTACT: Requests for additional information or copies of the form should be directed to Allan Hopkins at...-6665 or through the Internet at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title: Information...: June 17, 2013. Allan Hopkins, Tax Analyst. BILLING CODE 4830-01-P...

  9. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  10. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  11. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  12. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  13. 76 FR 31015 - Proposed Collection; Comment Request for Form 12854

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-27

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF THE TREASURY... Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY: The Department of the Treasury...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 12854, Prior Government...

  14. 44 CFR 6.30 - Form of requests.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... with FEMA; and any other information which the individual believes would help the system manager to determine whether the information about the individual is included in the system of records. The system... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Form of requests....

  15. 75 FR 28325 - Proposed Collection; Comment Request for Form 8316

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8316, Information Regarding Request for Refund of Social Security Tax Erroneously Withheld on Wages Received by a Nonresident Alien on...

  16. 76 FR 37196 - Proposed Collection; Comment Request for Form 6765

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ...: Requests for additional information or copies of the form and instructions should be directed to Evelyn J... (202) 622-7381, or through the Internet at Evelyn.J.Mack@irs.gov . SUPPLEMENTARY INFORMATION: Title... December 31, 2008. Text has been revised to reflect the increased percentage for tax years ending...

  17. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  18. 77 FR 34460 - Proposed Collection; Comment Request for Form 8900

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506..., 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER INFORMATION CONTACT: Requests...

  19. 78 FR 59098 - Proposed Collection; Comment Request for Form 5300 and Schedule Q (Form 5300)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ..., Application for Determination for Employee Benefit Plan, and Schedule Q (Form 5300), Elective Determination... Determination for Employee Benefit Plan (Form 5300), and Elective Determination Requests (Schedule Q (Form 5300... Code sections 401(a) and 501(a) set out requirements for qualification of employee benefit trusts...

  20. Audit of provincial IVIG Request Forms and efficacy documentation in four Ontario tertiary care centres.

    PubMed

    Shih, A W; Jamula, E; Diep, C; Lin, Y; Armali, C; Heddle, N M; Traore, A; Doherty, J; Shah, N; Hillis, C M

    2017-04-01

    Retrospective audit of IVIG Request Forms in four Ontario tertiary care centres: to determine the case mix of new IVIG requests, to authenticate information provided, and to determine documentation of clinical efficacy. To understand contributors to increases in IVIG utilisation and to determine whether IVIG is being used and monitored appropriately. Intravenous immunoglobulin (IVIG) use in Canada is high compared with other developed countries. We performed a retrospective audit of new IVIG Request Forms across four tertiary care centres in Ontario, one with an active surveillance programme, to determine the case mix, authenticate information provided and assess documentation of efficacy. Consecutive adult patients with a first-time IVIG request in 2014 were included. The ordering physician specialty, form completeness, documentation of diagnostic criteria for the medical condition and indication for IVIG use and documentation of efficacy were assessed by form and chart review. Of 178 patients, the most common indications for IVIG were immune thrombocytopenia (24.2%) and secondary immune deficiency (20.2%). The most frequent prescribers were haematologists (37.6%) and neurologists (10.7%). Other conditions not listed on the form represented 24.2% of cases, with most not indicated in current guidelines. A total of 32.6% of cases overall lacked verification of diagnostic criteria and 51.7% lacked verification for IVIG utilisation criteria, with the number of cases meeting criteria based on documentation being higher at the active surveillance site (P = 0.005). A total of 19.1% of cases had a discrepancy between the indication written on the form and the documented clinical diagnosis. A total of 18.7% of clinic notes following IVIG had no mention of efficacy. Our audit demonstrates a lack of compliance with IVIG Request Form requirements, a lack of documentation of diagnostic criteria and efficacy, and suggests inappropriate use of IVIG. Current implementation of the

  1. [Aspergillosis. Clinical forms and treatment].

    PubMed

    Fortún, Jesús; Meije, Yolanda; Fresco, Gema; Moreno, Santiago

    2012-04-01

    Invasive aspergillosis, chronic pulmonary aspergillosis and allergic bronchopulmonary aspergillosis are the clinical forms of aspergillosis. Although there is a great number of Aspergillus species, Aspergillus fumigatus-complex is the more frequent aetiological agent, regardless of clinical form or baseline condition. The increase in immunosuppressive agents and the higher use of corticosteroids in chronic obstructive pulmonary disease have led to aspergillosis becoming more prominent in recent years. Galactomannan detection and radiological diagnostic images complement the limitations of microbiology cultures in these patients. Voriconazole and liposomal amphotericin B are the gold standard in patients requiring therapy, and posaconazole, itraconazole, caspofungin and other echinocandins are effective alternatives. The prognosis depends of clinical forms and characteristics of the host, but it is particularly poor in the disseminated invasive forms.

  2. 75 FR 61840 - Proposed Collection; Comment Request for Form 5300 and Schedule Q (Form 5300)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ..., Application for Determination for Employee Benefit Plan, and Schedule Q (Form 5300), Elective Determination...: Application for Determination for Employee Benefit Plan (Form 5300), and Elective Determination Requests...: Internal Revenue Code sections 401(a) and 501(a) set out requirements for qualification of employee...

  3. 48 CFR 245.7001-4 - DD Form 1640, Request for Plant Clearance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false DD Form 1640, Request for Plant Clearance. 245.7001-4 Section 245.7001-4 Federal Acquisition Regulations System DEFENSE... Forms 245.7001-4 DD Form 1640, Request for Plant Clearance. Use to request plant clearance assistance...

  4. 5 CFR 1631.6 - How to request records-form and content.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false How to request records-form and content... § 1631.6 How to request records—form and content. (a) A request made under the FOIA must be submitted in writing, addressed to: FOIA Officer, Federal Retirement Thrift Investment Board, 1250 H Street, NW...

  5. 5 CFR 2502.6 - How to request records-form and content.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false How to request records-form and content..., 5 U.S.C. 552 § 2502.6 How to request records—form and content. (a) A request made under the FOIA must be submitted in writing, addressed to: FOIA Officer, Office of Administration, 725 17th Street NW...

  6. 5 CFR 2502.6 - How to request records-form and content.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false How to request records-form and content..., 5 U.S.C. 552 § 2502.6 How to request records—form and content. (a) A request made under the FOIA must be submitted in writing, addressed to: FOIA Officer, Office of Administration, 725 17th Street NW...

  7. 5 CFR 1631.6 - How to request records-form and content.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false How to request records-form and content... § 1631.6 How to request records—form and content. (a) A request made under the FOIA must be submitted in writing, addressed to: FOIA Officer, Federal Retirement Thrift Investment Board, 1250 H Street, NW...

  8. 5 CFR 1631.6 - How to request records-form and content.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false How to request records-form and content... § 1631.6 How to request records—form and content. (a) A request made under the FOIA may be submitted by one of the following methods: (1) In writing addressed to FOIA Officer, Federal Retirement Thrift...

  9. 5 CFR 2502.6 - How to request records-form and content.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false How to request records-form and content..., 5 U.S.C. 552 § 2502.6 How to request records—form and content. (a) A request made under the FOIA must be submitted in writing, addressed to: FOIA Officer, Office of Administration, 725 17th Street NW...

  10. 5 CFR 2502.6 - How to request records-form and content.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false How to request records-form and content..., 5 U.S.C. 552 § 2502.6 How to request records—form and content. (a) A request made under the FOIA must be submitted in writing, addressed to: FOIA Officer, Office of Administration, 725 17th Street NW...

  11. 5 CFR 1631.6 - How to request records-form and content.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false How to request records-form and content... § 1631.6 How to request records—form and content. (a) A request made under the FOIA may be submitted by one of the following methods: (1) In writing addressed to FOIA Officer, Federal Retirement Thrift...

  12. 5 CFR 2502.6 - How to request records-form and content.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false How to request records-form and content..., 5 U.S.C. 552 § 2502.6 How to request records—form and content. (a) A request made under the FOIA must be submitted in writing, addressed to: FOIA Officer, Office of Administration, 725 17th Street NW...

  13. 78 FR 19578 - Proposed Collection; Comment Request for Form 4506-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-01

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 4506-T AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 4506-T Request for Transcript... for Transcript of Tax Return. OMB Number: 1545-1872. Form Number: Form 4506-T. Abstract:...

  14. 75 FR 21148 - Proposed Collection; Comment Request for Form 4506-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-22

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 4506-T AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 4506-T Request for Transcript... for Transcript of Tax Return. OMB Number: 1545-1872. Form Number: Form 4506-T. Abstract:...

  15. 75 FR 38874 - Proposed Collection; Comment Request for Form 706-NA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-06

    ... Request for Form 706-NA AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... Form 706-NA, United States Estate (and Generation-Skipping Transfer) Tax Return, Estate of nonresident... not a citizen of the United States. OMB Number: 1545-0531. Form Number: 706-NA. Abstract: Form 706-NA...

  16. Changing the electronic request form proves to be an effective tool for optimizing laboratory test utilization in the emergency department.

    PubMed

    Lapić, Ivana; Juroš, Gordana Fressl; Rako, Ivana; Rogić, Dunja

    2017-06-01

    Appropriate laboratory utilization more often than not needs to be initiated by the laboratory. This study was performed to analyze the impact on test ordering patterns in the emergency department obtained by omitting certain tests from the electronic tick box request form. The tests could still be ordered by writing the full name of the test or by a phone call. Erythrocyte sedimentation rate (ESR), fibrinogen, aspartate aminotransferase (AST), calcium and lipase were omitted from the electronic request form and could subsequently be ordered either by phone or a typed-in request. A reflex testing protocol was elaborated for reduction of creatine kinase (CK) and CK-MB analyses. All interventions were introduced with prior consultation with clinical staff and according to current guidelines. The reduction of test orders and costs in the post-intervention period was assessed. All data were retrieved retrospectively from the laboratory information system (LIS). Disappearance from the tick box request form resulted in a significant decrease in the number of requests for targeted tests in the post-intervention year, mostly affecting AST and fibrinogen (83% and 79% reduction of ordering, respectively), followed by a 58% reduction in calcium orders, and 54% and 43% reductions in ESR and lipase requests, respectively. A substantial reduction in CK requests was also observed, while CK-MB requests almost disappeared. Annual cost savings that emerged from all implemented interventions were estimated to be 19,445€. Significant reduction in ordering of selected tests was achieved simply by limiting their availability in hospital computerized order entry (COE) system. The present data suggest that removal of laboratory tests from the electronic request form can be an effective tool for changing physicians' test ordering behavior. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. 32 CFR 989.12 - AF Form 813, Request for Environmental Impact Analysis.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false AF Form 813, Request for Environmental Impact... FORCE ENVIRONMENTAL PROTECTION ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.12 AF Form 813, Request for Environmental Impact Analysis. The Air Force uses AF Form 813 to document the need...

  18. 32 CFR 989.12 - AF Form 813, Request for Environmental Impact Analysis.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 6 2012-07-01 2012-07-01 false AF Form 813, Request for Environmental Impact... FORCE ENVIRONMENTAL PROTECTION ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.12 AF Form 813, Request for Environmental Impact Analysis. The Air Force uses AF Form 813 to document the need...

  19. 32 CFR 989.12 - AF Form 813, Request for Environmental Impact Analysis.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 6 2014-07-01 2014-07-01 false AF Form 813, Request for Environmental Impact... FORCE ENVIRONMENTAL PROTECTION ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.12 AF Form 813, Request for Environmental Impact Analysis. The Air Force uses AF Form 813 to document the need...

  20. 32 CFR 989.12 - AF Form 813, Request for Environmental Impact Analysis.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false AF Form 813, Request for Environmental Impact... FORCE ENVIRONMENTAL PROTECTION ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.12 AF Form 813, Request for Environmental Impact Analysis. The Air Force uses AF Form 813 to document the need...

  1. 75 FR 63541 - Proposed Collection; Comment Request for Form 8453-EX

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-15

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8453-EX AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form ] 8453-EX, Excise Tax... CONTACT: Requests for additional information or copies of the form and instructions should be directed...

  2. 76 FR 7907 - Proposed Collection; Comment Request for Form 1099-K; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-11

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1099-K; Correction AGENCY: Internal.... Currently, the IRS is soliciting comments concerning Form 1099-K, Merchant Card and Third Party Payments... Request for Form 1099-K contains an error that may prove to be misleading and is in need of...

  3. 76 FR 61763 - Extension: Form N-17f-2; Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... COMMISSION Extension: Form N-17f-2; Proposed Collection; Comment Request Upon Written Request, Copies... collection of information to the Office of Management and Budget for extension and approval. Form N-17f-2 (17... and Similar Investments in the Custody of Management Investment Companies.'' Form N-17f-2 is the cover...

  4. 78 FR 47828 - Proposed Collection; Comment Request for Form 211

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-06

    ..., 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER INFORMATION CONTACT: Requests for... Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington DC 20224, or through the...

  5. 19 CFR 177.25 - Form and content of request.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... TREASURY (CONTINUED) ADMINISTRATIVE RULINGS Government Procurement; Country-of-Origin Determinations § 177... law or well established interpretation relating to the particular country of origin. (b) A request for... for which a country-of-origin determination is requested; (3) The country or instrumentality...

  6. 19 CFR 177.25 - Form and content of request.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... TREASURY (CONTINUED) ADMINISTRATIVE RULINGS Government Procurement; Country-of-Origin Determinations § 177... law or well established interpretation relating to the particular country of origin. (b) A request for... for which a country-of-origin determination is requested; (3) The country or instrumentality...

  7. 77 FR 66958 - Agency Information Collection Activities; Comment Request; Form for Maintenance of Effort Waiver...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-08

    ... Agency Information Collection Activities; Comment Request; Form for Maintenance of Effort Waiver Requests... notice will be considered public records. Title of Collection: Form for Maintenance of Effort Waiver... (SEA) finds that either the combined fiscal effort per student or the aggregate expenditures of the...

  8. 78 FR 63564 - Proposed Collection; Comment Request for Form 8038-R

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-24

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8038-R AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8038-R, Request for Recovery of...: 8038-R. Abstract: Under Treasury Regulations section 1.148-3(i), bond issuers may recover...

  9. 75 FR 61244 - Proposed Collection; Comment Request for Form 8038-R

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8038-R AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8038-R, Request for Recovery of... should be directed to R. Joseph Durbala at Internal Revenue Service, room 6129, 1111 Constitution...

  10. 48 CFR 245.7101-4 - DD Form 1640, Request for Plant Clearance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Plant Clearance. 245.7101-4 Section 245.7101-4 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE CONTRACT MANAGEMENT GOVERNMENT PROPERTY Plant Clearance Forms 245.7101-4 DD Form 1640, Request for Plant Clearance. Use to request plant clearance assistance...

  11. 75 FR 61769 - Agency Information Collection Activities: Form I-912, New Information Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ... SECURITY U.S. Citizenship and Immigration Services Agency Information Collection Activities: Form I-912, New Information Collection; Comment Request ACTION: 30-Day Notice of Information Collection Under Review: Form I- 912, Request for Fee Waiver; OMB Control No. 1615-New. The Department of Homeland...

  12. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 2 2012-07-01 2012-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  13. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 2 2011-07-01 2011-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  14. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 2 2013-07-01 2013-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  15. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 2 2014-07-01 2014-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  16. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  17. 78 FR 58608 - Proposed Collection; Comment Request for the EFTPS Primary Contact Information Change Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-24

    ... Internal Revenue Service Proposed Collection; Comment Request for the EFTPS Primary Contact Information... the EFTPS Primary Contact Information Change Form. DATES: Written comments should be received on or.... FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of the form and...

  18. 75 FR 61245 - Proposed Collection; Comment Request for the EFTPS Primary Contact Information Change Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... Internal Revenue Service Proposed Collection; Comment Request for the EFTPS Primary Contact Information... the EFTPS Primary Contact Information Change Form. DATES: Written comments should be received on or.... FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of the form and...

  19. 48 CFR 253.208-1 - DD Form 448, Military Interdepartmental Purchase Request.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false DD Form 448, Military Interdepartmental Purchase Request. 253.208-1 Section 253.208-1 Federal Acquisition Regulations System DEFENSE... DD Form 448, Military Interdepartmental Purchase Request. Follow the procedures at PGI 253.208-1...

  20. 48 CFR 253.208-1 - DD Form 448, Military Interdepartmental Purchase Request.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false DD Form 448, Military Interdepartmental Purchase Request. 253.208-1 Section 253.208-1 Federal Acquisition Regulations System DEFENSE... DD Form 448, Military Interdepartmental Purchase Request. Follow the procedures at PGI 253.208-1...

  1. 48 CFR 253.208-1 - DD Form 448, Military Interdepartmental Purchase Request.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false DD Form 448, Military Interdepartmental Purchase Request. 253.208-1 Section 253.208-1 Federal Acquisition Regulations System DEFENSE... DD Form 448, Military Interdepartmental Purchase Request. Follow the procedures at PGI 253.208-1...

  2. 46 CFR 202.3 - Form of petitions, requests and replies.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 8 2014-10-01 2014-10-01 false Form of petitions, requests and replies. 202.3 Section... Form of petitions, requests and replies. (a) All papers presented to the Secretary, other than records... subject index of the matter contained therein, with page references, and a table of the...

  3. 46 CFR 202.3 - Form of petitions, requests and replies.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 8 2013-10-01 2013-10-01 false Form of petitions, requests and replies. 202.3 Section... Form of petitions, requests and replies. (a) All papers presented to the Secretary, other than records... subject index of the matter contained therein, with page references, and a table of the...

  4. 12 CFR Appendix L to Part 1022 - Standardized Form for Requesting Annual File Disclosures

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 8 2012-01-01 2012-01-01 false Standardized Form for Requesting Annual File Disclosures L Appendix L to Part 1022 Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION FAIR CREDIT REPORTING (REGULATION V) Pt. 1022, App. L Appendix L to Part 1022—Standardized Form for Requesting Annual...

  5. 12 CFR Appendix L to Part 1022 - Standardized Form for Requesting Annual File Disclosures

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 8 2013-01-01 2013-01-01 false Standardized Form for Requesting Annual File Disclosures L Appendix L to Part 1022 Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION FAIR CREDIT REPORTING (REGULATION V) Pt. 1022, App. L Appendix L to Part 1022—Standardized Form for Requesting Annual...

  6. 12 CFR Appendix L to Part 1022 - Standardized Form for Requesting Annual File Disclosures

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 8 2014-01-01 2014-01-01 false Standardized Form for Requesting Annual File Disclosures L Appendix L to Part 1022 Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION FAIR CREDIT REPORTING (REGULATION V) Pt. 1022, App. L Appendix L to Part 1022—Standardized Form for Requesting Annual...

  7. 48 CFR 253.208-1 - DD Form 448, Military Interdepartmental Purchase Request.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false DD Form 448, Military Interdepartmental Purchase Request. 253.208-1 Section 253.208-1 Federal Acquisition Regulations System DEFENSE... DD Form 448, Military Interdepartmental Purchase Request. Follow the procedures at PGI 253.208-1 for...

  8. 48 CFR 253.208-1 - DD Form 448, Military Interdepartmental Purchase Request.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false DD Form 448, Military Interdepartmental Purchase Request. 253.208-1 Section 253.208-1 Federal Acquisition Regulations System DEFENSE... DD Form 448, Military Interdepartmental Purchase Request. Follow the procedures at PGI 253.208-1 for...

  9. 36 CFR 1120.25 - Form of requests.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ....” It is helpful, but not necessary, for the requestor to include his or her phone number and the reason...&TBCB will delay running of the time limit and delay processing of the request, if the responsible...

  10. 75 FR 51876 - Proposed Collection; Comment Request for Form 1041-ES

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ...; Comment Request for Form 1041-ES AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and... comments concerning Form 1041-ES, Estimated Income Tax for Estates and Trusts. DATES: Written comments... Trusts. OMB Number: 1545-0971. [[Page 51877

  11. 77 FR 57190 - Proposed Collection; Comment Request for Schedule H (Form 1040)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... Internal Revenue Service Proposed Collection; Comment Request for Schedule H (Form 1040) AGENCY: Internal...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Schedule H (Form 1040), Household... Taxes. OMB Number: 1545-1971. Form Number: Schedule H (Form 1040). Abstract: Schedule H (Form 1040) is...

  12. 77 FR 37098 - Proposed Collection; Comment Request for Form 8038-CP

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-20

    ...; Comment Request for Form 8038-CP AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and... comments concerning Form 8038-CP, Return for Credit Payments to Issuers of Qualified Bonds. DATES: Written... to Issuers of Qualified Bonds. OMB Number: 1545-2142. Form Number: Form 8038-CP. Abstract: Form 8038...

  13. 14 CFR 155.11 - Form and content of requests for release.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Form and content of requests for release. 155.11 Section 155.11 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... the District Airport Engineer in whose district the airport is located. (c) Each request for a...

  14. 14 CFR 155.11 - Form and content of requests for release.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Form and content of requests for release. 155.11 Section 155.11 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... the District Airport Engineer in whose district the airport is located. (c) Each request for a...

  15. 76 FR 9615 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-18

    ... Management and Budget (OMB) to request an extension without change of a currently approved collection of... covered by the railroad retirement system. Under Section 1843 of the Social Security Act, states may enter... respondent. The RRB proposes no changes to Form RL-380-F. Previous Requests for Comments: The RRB has...

  16. 78 FR 23898 - Notice of Request for a New Information Collection (Accredited Laboratory Contact Update Form)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-23

    ... Laboratory Contact Update Form) AGENCY: Food Safety and Inspection Service, USDA. ACTION: Notice and request... intention to request a new information collection regarding the compilation of updated contact information..., DC 20250-3700 between 8:00 a.m. and 4:30 p.m., Monday through Friday. FOR FURTHER INFORMATION CONTACT...

  17. 14 CFR 155.11 - Form and content of requests for release.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....4, “Airport Environmental Handbook” (45 FR 56624; Aug. 25, 1980), if an assessment is required by... TRANSPORTATION (CONTINUED) AIRPORTS RELEASE OF AIRPORT PROPERTY FROM SURPLUS PROPERTY DISPOSAL RESTRICTIONS § 155.11 Form and content of requests for release. (a) A request for the release of surplus...

  18. 14 CFR 155.11 - Form and content of requests for release.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ....4, “Airport Environmental Handbook” (45 FR 56624; Aug. 25, 1980), if an assessment is required by... TRANSPORTATION (CONTINUED) AIRPORTS RELEASE OF AIRPORT PROPERTY FROM SURPLUS PROPERTY DISPOSAL RESTRICTIONS § 155.11 Form and content of requests for release. (a) A request for the release of surplus...

  19. 42 CFR 110.42 - Deadlines for filing Request Forms.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 110.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES...., a Federal Tort Claims Act claim or a petition with the National Vaccine Injury Compensation Program.... The effect of such a new Table or amendment may enable a requester who previously could not...

  20. 42 CFR 110.42 - Deadlines for filing Request Forms.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 110.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES...., a Federal Tort Claims Act claim or a petition with the National Vaccine Injury Compensation Program.... The effect of such a new Table or amendment may enable a requester who previously could not...

  1. 42 CFR 110.42 - Deadlines for filing Request Forms.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 110.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES...., a Federal Tort Claims Act claim or a petition with the National Vaccine Injury Compensation Program.... The effect of such a new Table or amendment may enable a requester who previously could not...

  2. 42 CFR 110.42 - Deadlines for filing Request Forms.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 110.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES...., a Federal Tort Claims Act claim or a petition with the National Vaccine Injury Compensation Program.... The effect of such a new Table or amendment may enable a requester who previously could not...

  3. 76 FR 1666 - Proposed Collection; Comment Request for Form 15597

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-11

    ..., as part of its continuing effort to reduce paperwork and respondent burden, invites the general... information requested of individuals or businesses that have purchased real property at a third party.... Current Actions: There were no changes made to the document that resulted in any change to the...

  4. 76 FR 21944 - Proposed Collection; Comment Request for Form 8233

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-19

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506... Withholding on Compensation for Independent (and Certain Dependent) Personal Services of a Nonresident Alien..., 1111 Constitution Avenue, NW., Washington, DC 20224. FOR FURTHER INFORMATION CONTACT: Requests for...

  5. 76 FR 10670 - Proposed Collection; Comment Request for Form 720-CF

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-25

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 720-CF AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 720-CF, Certain Fuel Products... Products Report. OMB Number: 1545-XXXX. Form Number: Form 720-CF. Abstract: Internal Revenue Code Sec....

  6. 75 FR 44849 - Proposed Collection; Comment Request for Forms 945, 945-A, and 945-V

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-29

    ... Internal Revenue Service Proposed Collection; Comment Request for Forms 945, 945-A, and 945-V AGENCY... U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 945, Annual Return of Withheld Federal Income Tax; Form 945-A, Annual Record of Federal Tax Liability; and Form...

  7. 77 FR 71872 - Proposed Collection; Comment Request for Form 56-F

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-04

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 56-F AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 56-F, Notice Concerning...: Form 56-F. Abstract: The filing of Form 56-F by a fiduciary (FDIC or other federal agency acting as...

  8. 78 FR 63565 - Proposed Collection; Comment Request for Forms 2210 and 2210-F

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-24

    ... Internal Revenue Service Proposed Collection; Comment Request for Forms 2210 and 2210-F AGENCY: Internal... Tax by Individuals, Estate, and Trusts, and Form 2210-F, Underpayment of Estimated Tax by Farmers and... and Fishermen (Form 2210-F). OMB Number: 1545-0140. Form Number: 2210 AND 2210-F. Abstract:...

  9. 76 FR 45906 - Proposed Collection; Comment Request for Form W-10

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-01

    ... Internal Revenue Service Proposed Collection; Comment Request for Form W-10 AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form W-10, Dependent Care Provider's...: Dependent Care Provider's Identification and Certification. OMB Number: 1545-XXXX. Form Number: Form...

  10. 76 FR 37194 - Proposed Collection; Comment Request for Form 1099-R.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1099-R. AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1099-R, Distributions From...-0119. Form Number: 1099-R. Abstract: Form 1099-R is used to report distributions from...

  11. 78 FR 21500 - Proposed Collection; Comment Request for Form 8275 and 8275-R

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-10

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8275 and 8275-R AGENCY: Internal... Form 8275-R, Regulation Disclosure Statement. DATES: Written comments should be received on or before... INFORMATION: ] Title: Disclosure Statement (Form 8275) and Regulation Disclosure Statement (Form 8275-R)....

  12. 76 FR 35509 - Proposed Collection; Comment Request for Form 1099-G

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1099-G AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1099-G, Certain Government... Payments. OMB Number: 1545-0120. Form Number: 1099-G. Abstract: Form 1099-G is used to report government...

  13. 76 FR 44658 - Proposed Collection; Comment Request for Form 1041-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1041-A AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1041-A, U.S. Information Return...: 1545-0094. Form Number: 1041-A. Abstract: Form 1041-A is used to report the information required in...

  14. 78 FR 58607 - Proposed Collection; Comment Request for Form 1041-ES

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-24

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1041-ES AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1041-ES, Estimated Income Tax... Income Tax for Estates and Trusts. OMB Number: 1545-0971. Form Number: Form 1041-ES. Abstract: Internal...

  15. 75 FR 2931 - Proposed Collection; Comment Request for Form 1099-H

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-19

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1099-H AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1099-H, Health Coverage Tax...: Form 1099-H. Abstract: Form 1099-H is used to report advance payments of health insurance premiums to...

  16. 75 FR 5873 - Proposed Collection; Comment Request for the HCTC Family Member Eligibility Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... Internal Revenue Service Proposed Collection; Comment Request for the HCTC Family Member Eligibility Form..., HCTC Family Member Eligibility Form. DATES: Written comments should be received on or before April 5...: HCTC Family Member Eligibility Form. OMB Number: 1545-2163. Form Number: 14116. Abstract: This...

  17. 77 FR 34462 - Proposed Collection; Comment Request for Schedule C-EZ (Form 1040)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... Internal Revenue Service Proposed Collection; Comment Request for Schedule C-EZ (Form 1040) AGENCY... U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Schedule C-EZ (Form 1040... INFORMATION: Title: Net Profit From Business. OMB Number: 1545-1973. Form Number: Schedule C-EZ (Form 1040...

  18. 75 FR 5856 - Proposed Collection; Comment Request for Form 1098-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1098-T AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1098-T, Tuition Payment... Statement. OMB Number: 1545-1574. Form Number: Form 1098-T. Abstract: Section 6050S of the Internal...

  19. 78 FR 40832 - Proposed Collection; Comment Request for Form 1098-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1098-T AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1098-T, Tuition Payment... Statement. OMB Number: 1545-1574. Form Number: Form 1098-T. Abstract: Section 6050S of the Internal...

  20. 78 FR 47053 - Proposed Collection; Comment Request for Form 706-NA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-02

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 706-NA AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 706-NA, United States Estate... nonresident not a citizen of the United States. OMB Number: 1545-0531. Form Number: 706-NA. Abstract: Form 706...

  1. 78 FR 46692 - Proposed Collection; Comment Request for Form 990-N

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-01

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 990-N AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 990-N, Electronic Notice (e... file Form 990 or 990-EZ. OMB Number: 1545-2085. Form Number: 990-N. Abstract: Section 1223 of the...

  2. 76 FR 4744 - Proposed Collection; Comment Request for Form 1099-K

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-26

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1099-K AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form ] 1099-K, Merchant Card and...: Merchant Card and Third Party Payments. OMB Number: 1545-XXXX. Form Number: Form 1099-K. Abstract: This...

  3. 77 FR 50210 - Proposed Collection; Comment Request for Form 1099-K

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-20

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1099-K AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1099-K, Merchant Card and Third...: Merchant Card and Third Party Payments. OMB Number: 1545-2205. Form Number: Form 1099-K. Abstract: This...

  4. 78 FR 53009 - Proposed Collection; Comment Request for Form 1099-K

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1099-K AGENCY: Internal Revenue... comments concerning Form 1099-K, Payment Card and Third Party Network Transactions. DATES: Written comments...: Form 1099-K. Abstract: This form is in response to section 3091(a) of Public Law 110-289, the...

  5. 75 FR 42469 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-21

    ... Agency Forms Submitted for OMB Review, Request for Comments SUMMARY: In accordance with the Paperwork...-0039, RUIA Applications, consisting of RRB Form(s) S1-1a, Application for Sickness Benefits; SI-1b... of the forms is required to obtain or retain benefits. A minimum of one response is required of each...

  6. 75 FR 30907 - Proposed Collection; Comment Request for Form 990-N

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-02

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 990-N AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 990-N, Electronic Notice (e...-Exempt Organizations not Required To file Form 990 or 990-EZ. OMB Number: 1545-2085. Form Number: 990-N...

  7. 78 FR 10600 - Proposed Information Collection; Comment Request; Southeast Region Logbook Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Southeast Region Logbook Family of Forms AGENCY: National Oceanic and Atmospheric Administration (NOAA)....

  8. 76 FR 65500 - Proposed Information Collection; Comment Request; Highly Migratory Species Permit Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-21

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Highly Migratory Species Permit Family of Forms AGENCY: National Oceanic and Atmospheric Administration...

  9. 78 FR 21912 - Proposed Information Collection; Comment Request; Processed Products Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-12

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Processed Products Family of Forms AGENCY: National Oceanic and Atmospheric Administration (NOAA), Commerce....

  10. 78 FR 26113 - Information Collection Renewal; Comment Request; Transfer Agent Registration and Amendment Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-03

    ... Renewal; Comment Request; Transfer Agent Registration and Amendment Form AGENCIES: Office of the... currently valid Office of Management and Budget (OMB) control number. The OCC and FDIC are soliciting comment concerning renewal of its information collection titled, ``Transfer Agent Registration...

  11. 77 FR 72321 - Agency Information Collection Activities: Proposed Collection; Comment Request; Supplemental Form...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-05

    ... Food and Nutrition Service Agency Information Collection Activities: Proposed Collection; Comment Request; Supplemental Form for Collecting Taxpayer Identifying Numbers AGENCY: Food and Nutrition Service... Porter, Director, Office of Internal Controls, Audits and Investigations, Food and Nutrition Service, U.S...

  12. 78 FR 58605 - Proposed Collection; Comment Request for Form 8453-EMP, Form 8453-F, Form 8453-FE, Form 8879-F...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-24

    ... comments concerning Form 8453-F, U.S. Estate of Trust Income Tax Declaration and Signature for Electronic...- file Return; Form 8453-EMP, Employment Tax Declaration for an IRS e- file Return; Form 8879-EMP, IRS e... INFORMATION: Title: Employment Tax Declaration for an IRS e-file Return. OMB Number: 1545-0967. Form...

  13. 78 FR 26115 - Proposed Collection; Comment Request for Form 8909

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-03

    ... Efficient Appliance Credit. OMB Number: 1545-2055. Form Number: Form 8909. Abstract: Form 8909, Energy Efficient Appliance Credit, was developed to carry out the provisions of Code section 45M. The form provides...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8909, Energy...

  14. 75 FR 42828 - Proposed Collection; Comment Request for Form 13560

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-22

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 13560, HCTC Health Plan Administrator (HPA) Return of Funds Form. DATES: Written comments should be received on or before September 20...: Form 13560, HCTC Health Plan Administrator (HPA) Return of Funds form. OMB Number: 1545-1891. Form...

  15. 16 CFR Appendix D to Part 698 - Standardized form for requesting annual file disclosures.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Standardized form for requesting annual file disclosures. D Appendix D to Part 698 Commercial Practices FEDERAL TRADE COMMISSION THE FAIR CREDIT REPORTING ACT MODEL FORMS AND DISCLOSURES Pt. 698, App. D Appendix D to Part 698—Standardized form for...

  16. 77 FR 69665 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-20

    ... Reduction Act of 1995 (44 U.S.C. Chapter 35), the Railroad Retirement Board (RRB) is forwarding two... employee or survivor annuitant, an RRB field office utilizes Form RL-94-F, Survivor Questionnaire, to... Request (ICR) Title: Survivor Questionnaire . OMB Control Number: 3220-0032. Form(s) submitted: RL-94-F...

  17. 75 FR 49023 - Proposed Collection; Comment Request for Form TD F 90-22.1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-12

    ... Internal Revenue Service Proposed Collection; Comment Request for Form TD F 90-22.1 AGENCY: Internal...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form TD F 90-22.1, Report of Foreign... INFORMATION: Title: Report of Foreign Bank and Financial Accounts. OMB Number: 1545-2038. Form Number: TD F...

  18. 76 FR 62500 - Proposed Collection; Comment Request for Form 1120-F

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-07

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1120-F AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1120-F, U.S. Income Tax Return...-F. Abstract: Form 1120-F is used by foreign corporations that have investments, or a business, or...

  19. 77 FR 60743 - Proposed Collection; Comment Request for Schedule F, Part II and III (Form 1040)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-04

    ... Internal Revenue Service Proposed Collection; Comment Request for Schedule F, Part II and III (Form 1040... Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Schedule F... Number: Schedule F, Part II and III (Form 1040). Abstract: Schedule F, Part II and III (Form 1040)...

  20. 75 FR 10025 - Proposed Collection; Comment Request for Forms 8038, 8038-G, and 8038-GC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-04

    ... Internal Revenue Service Proposed Collection; Comment Request for Forms 8038, 8038-G, and 8038-GC AGENCY... Return for Tax-Exempt Private Activity Bond Issues, Form 8038-G, Information Return for Tax-Exempt... Governmental Obligation (Form 8038-G), and Information Return for Small Tax-Exempt Governmental Bond Issues...

  1. 76 FR 36621 - Proposed Collection; Comment Request for Forms 1042, 1042-S, and 1042-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-22

    ... Internal Revenue Service Proposed Collection; Comment Request for Forms 1042, 1042-S, and 1042-T AGENCY... U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons, Form 1042-S, Foreign Person's U.S....

  2. 75 FR 5870 - Proposed Collection; Comment Request for the HCTC Medicare Family Member Registration Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... Internal Revenue Service Proposed Collection; Comment Request for the HCTC Medicare Family Member... Medicare Family Member Registration Form. DATES: Written comments should be received on or before April 5...: HCTC Medicare Family Member Registration Form. OMB Number: 1545-2162. Form Number: 14117....

  3. 16 CFR Appendix D to Part 698 - Standardized form for requesting annual file disclosures.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 16 Commercial Practices 1 2014-01-01 2014-01-01 false Standardized form for requesting annual file disclosures. D Appendix D to Part 698 Commercial Practices FEDERAL TRADE COMMISSION THE FAIR CREDIT REPORTING ACT MODEL FORMS AND DISCLOSURES Pt. 698, App. D Appendix D to Part 698—Standardized form...

  4. 16 CFR Appendix D to Part 698 - Standardized form for requesting annual file disclosures.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 16 Commercial Practices 1 2013-01-01 2013-01-01 false Standardized form for requesting annual file disclosures. D Appendix D to Part 698 Commercial Practices FEDERAL TRADE COMMISSION THE FAIR CREDIT REPORTING ACT MODEL FORMS AND DISCLOSURES Pt. 698, App. D Appendix D to Part 698—Standardized form...

  5. 16 CFR Appendix D to Part 698 - Standardized form for requesting annual file disclosures.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Standardized form for requesting annual file disclosures. D Appendix D to Part 698 Commercial Practices FEDERAL TRADE COMMISSION THE FAIR CREDIT REPORTING ACT MODEL FORMS AND DISCLOSURES Pt. 698, App. D Appendix D to Part 698—Standardized form...

  6. 76 FR 44658 - Proposed Collection; Comment Request for Form 1125-E

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1125-E AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1125-E, Compensation of... additional information or copies of the form and instructions should be directed to Joel Goldberger,...

  7. 78 FR 16362 - Proposed Collection; Comment Request for Form 5471 (and Related Schedules)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-14

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 5471 (and Related Schedules) AGENCY... 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 5471 (and... copies of the form and instructions should be directed to Martha R. Brinson at Internal Revenue...

  8. 76 FR 44657 - Proposed Collection; Comment Request for Form 1125-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1125-A AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1125-A, Cost of Goods Sold... additional information or copies of the form and instructions should be directed to Joel Goldberger,...

  9. 76 FR 17839 - Proposed Information Collection; Comment Request; Northeast Region Permit Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-31

    ...--Permit Transfer, Notification Harvest Activity-- Aquaculture Live Rock, Request for Octocoral or... Form, South Atlantic Golden Crab Vessel Form, Colombian Treaty Vessel Form, Aquaculture Live Rock Site... minutes; Aquaculture Live Rock Site Evaluation Report, 45 minutes; Rock Shrimp Vessel Operator Permit Card...

  10. 75 FR 9026 - Proposed Collection; Comment Request for Form 8038-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-26

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8038-T AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8038-T, Arbitrage Rebate and... Number: 8038-T. Abstract: Form 8038-T is used by issuers of tax exempt bonds to report and pay...

  11. 75 FR 28326 - Proposed Collection; Comment Request for Form 1040EZ-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1040EZ-T AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1040EZ-T, Claim for Refund of...: Claim for Refund of Federal Telephone Excise Tax. OMB Number: 1545-2039. Form Number: 1040EZ-T....

  12. 76 FR 49538 - Proposed Collection; Comment Request for Forms 8027 and 8027-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ... Internal Revenue Service Proposed Collection; Comment Request for Forms 8027 and 8027-T AGENCY: Internal... Information Return of Tip Income and Allocated Tips, and Form 8027-T, Transmittal of Employer's Annual... Transmittal of Employer's Annual Information Return of Tip Income and Allocated Tips (Form 8027-T). OMB...

  13. 76 FR 31013 - Proposed Collection; Comment Request for Form 1041-N

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-27

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1041-N AGENCY: Internal Revenue...(c)(2)(A)). The IRS is soliciting comments concerning Form 1041-N U.S. Income Tax Return for Electing.... Form Number: 1041-N. Abstract: An Alaska Native Settlement Trust (ANST) may elect under section 646 to...

  14. 75 FR 60513 - Proposed Collection; Comment Request for Form 8835

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-30

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8835, Renewable Electricity... Electricity Production Credit. OMB Number: 1545-1362. Form Number: Form 8835. Abstract: Form 8835 is used to claim the renewable electricity production credit. The credit is allowed for the sale of...

  15. 75 FR 33380 - Proposed Collection; Comment Request for Form 8909

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-11

    ... Efficient Appliance Credit. OMB Number: 1545-2055. Form Number: Form 8909. Abstract: Form 8909, Energy Efficient Appliance Credit, was developed to carry out the provisions of new Code section 45M. This new...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8909, Energy...

  16. 77 FR 71481 - Proposed Collection; Comment Request for Form 8911

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-30

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8911, Alternative Fuel Vehicle...: Alternative Fuel Vehicle Refueling Property Credit. OMB Number: 1545-1981. Form Number: Form 8911. Abstract: IRC section 30C allows a credit for alternative fuel vehicle refueling property. Form...

  17. 78 FR 61448 - Proposed Collection; Comment Request for Form 8834

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-03

    ... Kerry.Dennis@irs.gov . SUPPLEMENTARY INFORMATION: Title: Qualified Electric Vehicle Credit. OMB Number: 1545-1374. Form Number: Form 8834. Abstract: Form 8834 is used to claim any qualified electric vehicle... electric vehicle credit for vehicles acquired after 2011 (IRC 30(f)). As a result of the expiration, Form...

  18. 76 FR 77592 - Proposed Collection; Comment Request for Form 14242

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-13

    ...: Reporting Abusive Tax Promotions or Preparers. OMB Number: 1545-2219. Form Number: Form 14242. Abstract: The IC form is used to report an abusive tax avoidance scheme and tax return preparers who promote such...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 14242, Reporting Abusive Tax...

  19. 76 FR 57803 - Proposed Collection; Comment Request for Form 14242

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-16

    ...: Reporting Abusive Tax Promotions or Preparers. OMB Number: 1545-XXXX. Form Number: Form 14242. Abstract: The IC form is used to report an abusive tax avoidance scheme and tax return preparers who promote such...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 14242, Reporting Abusive Tax...

  20. 76 FR 71621 - Proposed Collection; Comment Request for Form 8892

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-18

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8892, Payment of Gift/GST Tax... . SUPPLEMENTARY INFORMATION: ] Title: Payment of Gift/GST Tax and/or Application for Extension to File Form 709...

  1. 78 FR 70631 - Proposed Collection; Comment Request for Form 8867

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-26

    ... collection techniques or other forms of information technology; and (e) estimates of capital or start-up... changes being made to the form at this time. Type of Review: Extension of a currently approved collection...

  2. 77 FR 63924 - Proposed Collection; Comment Request for Form 8633

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-17

    ... collection techniques or other forms of information technology; and (e) estimates of capital or start-up... form at this time. Type of Review: Extension of a currently approved collection. Affected Public...

  3. 75 FR 5864 - Proposed Collection; Comment Request for Form 8911

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8911, Alternative Fuel Vehicle... section 30C allows a credit for alternative fuel vehicle refueling property. Form 8911, Alternative...

  4. 77 FR 24267 - Proposed Collection; Comment Request for Form 8508

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-23

    ... Filing Information Returns Electronically (Forms W-2, W-2G, 1042-S, 1098 Series, 1099 Series, 5498 Series... From Filing Information Returns Electronically (Forms W-2, W-2G, 1042-S, 1098 Series, 1099 Series,...

  5. 77 FR 64849 - Proposed Collection; Comment Request for Form 6478

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-23

    ... Biofuel Fuels Credit. DATES: Written comments should be received on or before December 24, 2012 to be...: Alcohol and Cellulosic Biofuel Fuels Credit. OMB Number: 1545-0231. Form Number: Form 6478. Abstract: Use Form 6478 to figure your alcohol and cellulosic biofuel fuels credit. You claim the credit for the...

  6. 75 FR 36479 - Proposed Collection; Comment Request for Form 8923

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-25

    ..., as part of its continuing effort to reduce paperwork and respondent burden, invites the general...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8923, Mine Rescue Team Training... Rescue Team Training Credit. OMB Number: 1545-2067. Form Number: 8923. Abstract: Form 8923, Mine Rescue...

  7. 78 FR 52235 - Proposed Collection; Comment Request for Form 8825

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-22

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8825, Rental Real Estate Income... INFORMATION: Title: Rental Real Estate Income and Expenses of a Partnership or an S Corporation. OMB Number... Form 1065 or Form 1120S to report income and deductible expenses from rental real estate...

  8. 76 FR 61145 - Proposed Collection; Comment Request for Form 8899

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-03

    ... Intellectual Property. DATES: Written comments should be received on or before December 2, 2011 to be assured...: Notice of Income Donated Intellectual Property. OMB Number: 1545-1962. Form Number: Form 8899. Abstract: Form 8899 is filed by charitable org. receiving donations of intellectual property if the...

  9. 76 FR 77326 - Proposed Collection; Comment Request for Form 56

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-12

    ...)). Currently, the IRS is soliciting comments concerning Form 56, Notice Concerning Fiduciary Relationship... Fiduciary Relationship. OMB Number: 1545-0013. Form Number: 56. Abstract: Form 56 is used to inform the IRS... fiduciary relationship is established or terminated and to mail or discontinue mailing designated tax...

  10. 78 FR 54514 - Proposed Collection; Comment Request for Form 8941

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-04

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8941, Credit for Small Employer... Employer Health Insurance Premiums. OMB Number: 1545-2198. Form Number: Form 8941. Abstract: Section 1421...

  11. 75 FR 77046 - Proposed Collection; Comment Request for Form 8941

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-10

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8941, Credit for Small Employer...: Credit for Small Employer Health Insurance Premiums. OMB Number: 1545-2198. Form Number: Form 8941...

  12. 77 FR 4401 - Proposed Collection; Comment Request for Form 8932

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-27

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8932, Credit for Employer...: Credit for Employer Differential Wage Payments. OMB Number: 1545-2126. Form Number: Form 8932. Abstract...

  13. 75 FR 40031 - Proposed Collection; Comment Request for Form 3800

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-13

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 3800, General Business Credit...: General Business Credit. OMB Number: 1545-0895. Form Number: Form 3800. Abstract: Internal Revenue...

  14. 78 FR 24814 - Proposed Collection; Comment Request for Form 8612

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-26

    ... Undistributed Income of Real Estate Investment Trusts. DATES: Written comments should be received on or before... INFORMATION: Title: Return of Excise Tax on Undistributed Income of Real Estate Investment Trusts. OMB Number: 1545-1013. Form Number: Form 8612. Abstract: Form 8612 is used by real estate investment trusts to...

  15. 75 FR 33887 - Proposed Collection; Comment Request for Form 8612

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-15

    ... Undistributed Income of Real Estate Investment Trusts. DATES: Written comments should be received on or before... INFORMATION: Title: Return of Excise Tax on Undistributed Income of Real Estate Investment Trusts. OMB Number: 1545-1013. Form Number: Form 8612. Abstract: Form 8612 is used by real estate investment trusts to...

  16. 76 FR 77051 - Proposed Collection; Comment Request for Form 5452

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-09

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 5452, Corporate Report of...: Corporate Report of Nondividend Distributions. OMB Number: 1545-0205. Form Number: 5452. Abstract: Form...

  17. 76 FR 77052 - Proposed Collection; Comment Request for Form 8931

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-09

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8931, Agricultural Chemicals...: Agricultural Chemicals Security Credit. OMB Number: 1545-2122. Form Number: 8931. Abstract: Use Form 8931 to claim the tax credit for qualified agricultural chemicals security costs paid or incurred by...

  18. 78 FR 16047 - Proposed Collection; Comment Request for Form 966

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-13

    ...)). Currently, the IRS is soliciting comments concerning Form 966, Corporate Dissolution or Liquidation. DATES... internet at Martha.R.Brinson@irs.gov . SUPPLEMENTARY INFORMATION: Title: Corporate Dissolution or...

  19. 76 FR 3599 - Agency Information Collection Activities: Proposed Collection; Comment Request Form FNS-798 and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-20

    ... Request Form FNS-798 and FNS-798A, WIC Financial Management and Participation Report With Addendum AGENCY...: Title: WIC Financial Management and Participation Report with Addendum. OMB Number: 0584-0045. Form... the Secretary'' (See also 7 CFR 246.25(b)(1)). The WIC Financial Management and Participation Report...

  20. 75 FR 44053 - Proposed Collection; Comment Request: CDFI/CDE Project Profiles Web Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-27

    ... Profiles Web Form ACTION: Notice and request for comments. SUMMARY: The Department of the Treasury, as part... concerning the CDFI/CDE Project Profile Web Form, a voluntary information collection effort involving all... descriptions in CDFI Fund publications, on its Web site and in other ways to highlight the work of its awardees...

  1. 78 FR 28945 - Proposed Collection; Comment Request for Form 1120-C

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-16

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1120-C AGENCY: Internal Revenue... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1120-C, U.S. Income Tax...

  2. 77 FR 32715 - Proposed Collection; Comment Request for Form 5884-C

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-01

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 5884-C AGENCY: Internal Revenue... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 5884-C, Work Opportunity...

  3. 76 FR 34293 - Proposed Collection; Comment Request for Form 1099-C

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-13

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1099-C AGENCY: Internal Revenue... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1099-C, Cancellation of...

  4. 76 FR 57803 - Proposed Collection; Comment Request for Form 1098-C

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-16

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1098-C AGENCY: Internal Revenue... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1098-C, Contributions of...

  5. 75 FR 36478 - Proposed Collection; Comment Request for Form 1120-C

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-25

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1120-C AGENCY: Internal Revenue... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1120-C, U.S. Income Tax...

  6. 76 FR 12224 - Proposed Collection; Comment Request for Form 8609 and 8609-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-04

    ... obtain a housing credit allocation from the housing credit agency. A separate Form 8609 must be issued... Internal Revenue Service Proposed Collection; Comment Request for Form 8609 and 8609-A AGENCY: Internal... public and other Federal agencies to take this opportunity to comment on proposed and/or continuing...

  7. 32 CFR 989.12 - AF Form 813, Request for Environmental Impact Analysis.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... the issues to potential environmental impacts. AF Form 813 must be retained with the EA or EIS to record the focusing of environmental issues. ... 32 National Defense 6 2010-07-01 2010-07-01 false AF Form 813, Request for Environmental Impact...

  8. 78 FR 69938 - Proposed Collection; Comment Request for Form 8453-R

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-21

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8453-R AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8453-R, Declaration and... should be directed to R. Joseph Durbala, (202) 622-3634, at Internal Revenue Service, Room 6129,...

  9. 77 FR 64378 - Proposed Collection; Comment Request for Form 1041-QFT

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1041-QFT AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1041-QT, U.S. Income Tax Return...: 1041-QFT. Abstract: Internal Revenue Code section 685 allows the trustee of a qualified funeral...

  10. 78 FR 52824 - Proposed Information Collection (Bowel and Bladder Care Billing Form) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-26

    ... AFFAIRS Proposed Information Collection (Bowel and Bladder Care Billing Form) Activity: Comment Request... evaluate the Bowel and Bladder Care Billing Form used by caregivers of eligible Veterans to document time spent providing services related specifically to bowel and bladder care. DATES: Written comments...

  11. 75 FR 80861 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-23

    ... have been entitled to benefits under the Social Security Act. The information is used by the RRB to determine benefits due on the deceased employee's earnings record. The RRB proposes no changes to Form AA-12... response is requested of each respondent. The RRB proposes no changes to Form BA-6a. Information Collection...

  12. 78 FR 13401 - Proposed Collection; Comment Request for Form 8453-PE

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-27

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8453-PE AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8453-PE, U.S. Partnership...., Washington, DC 20224, or through the Internet at Katherine.b.dean@irs.gov . SUPPLEMENTARY INFORMATION:...

  13. 75 FR 5868 - Proposed Collection; Comment Request for Form 8453-PE

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8453-PE AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8453-PE, U.S. Partnership...., Washington, DC 20224, or through the Internet at Dawn.E.Bidne@irs.gov . SUPPLEMENTARY INFORMATION: Title:...

  14. 75 FR 28325 - Proposed Collection; Comment Request for Form 8879-PE

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 8879-PE AGENCY: Internal Revenue...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8879-PE, IRS e-file Signature..., DC 20224, or through the Internet at Joel.P.Goldberger@irs.gov . SUPPLEMENTARY INFORMATION:...

  15. 75 FR 47893 - Proposed Collection; Comment Request for Form 1120-SF

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-09

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1120-SF, U.S. Income Tax Return... Internal Revenue Service Proposed Collection; Comment Request for Form 1120-SF AGENCY: Internal...

  16. 76 FR 9810 - Agency Information Collection Activities: Comment Request for the Ferrous Metals Surveys (17 Forms)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... Geological Survey Agency Information Collection Activities: Comment Request for the Ferrous Metals Surveys... to supply the USGS with domestic consumption data of 13 ores, concentrates, metals, and ferroalloys... OMB Control Number: 1028-0068. Form Number: Various (17 forms). Title: Ferrous Metals Surveys. Type...

  17. 76 FR 61709 - Agency Information Collection Activities; Proposed Collection; Comment Request; FDA Form 3728...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... Collection; Comment Request; FDA Form 3728, Animal Generic Drug User Fee Act Cover Sheet AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is announcing... Drug User Fee Cover Sheet Form FDA 3728 that further implements certain provisions of the...

  18. 76 FR 34295 - Proposed Collection; Comment Request for Form 8404

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-13

    .... 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8404, Interest Charge on DISC... INFORMATION: Title: Interest Charge on DISC-Related Deferred Tax Liability. OMB Number: 1545-0939. Form Number: 8404. Abstract: Shareholders of Interest Charge Domestic International Sales Corporations (IC-DISCs...

  19. 78 FR 23982 - Proposed Collection; Comment Request for Form 5578

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-23

    ... Racial Nondiscrimination for a Private School Exempt from Federal Income Tax. DATES: Written comments... Private School Exempt from Federal Income Tax. OMB Number: 1545-0213. Form Number: Form 5578. Abstract...(c)(3) and that operates, supervises, or controls a private school must file a certification of...

  20. 75 FR 28322 - Proposed Collection; Comment Request for Form 5578

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... Racial Nondiscrimination for a Private School Exempt from Federal Income Tax. DATES: Written comments... Nondiscrimination for a Private School Exempt from Federal Income Tax. OMB Number: 1545-0213. Form Number: Form 5578... section 501(c)(3) and that operates, supervises, or controls a private school must file a certification of...

  1. 75 FR 44851 - Proposed Collection; Comment Request for Form 6524

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-29

    ...-6665, or through the Internet at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title: Office of... standing. Current Actions: There are no changes being made to the form at this time. Type of Review... collection techniques or other forms of information technology; and (e) estimates of capital or...

  2. 75 FR 33670 - Proposed Collection; Comment Request for Form 2032

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-14

    ... INFORMATION: Title: Contract Coverage Under Title II of the Social Security Act. OMB Number: 1545-0137. Form...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 2032, Contract Coverage Under Title II of the Social Security Act. DATES: Written comments should be received on or before August...

  3. 77 FR 38142 - Proposed Collection; Comment Request for Form 6252

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-26

    ... in a tax year after the year of sale, the income is to be reported in installments, as payment is...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 6252, Installment State Income... Income. OMB Number: 1545-0228. Form Number: 6252. Abstract: Internal Revenue Code section 453 provides...

  4. 76 FR 34294 - Proposed Collection; Comment Request for Form 8827

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-13

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8827, Credit for Prior Year...: Title: Credit for Prior Year Minimum Tax-Corporations. OMB Number: 1545-1257. Form Number: 8827...

  5. 75 FR 38183 - Proposed Collection; Comment Request for Form 8916

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-01

    ... Schedule M-3 Taxable Income with Tax Return Taxable Income for Mixed Groups. DATES: Written comments should... Income with Tax Return Taxable Income for Mixed Groups. OMB Number: 1545-2062. Form Number: Form 8916... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C....

  6. 76 FR 12417 - Proposed Collection; Comment Request for Form 8925

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-07

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506... Life Insurance Contracts. DATES: Written comments should be received on or before May 6, 2011 to be... of Employer-Owned Life Insurance Contracts. OMB Number: 1545-2089. Form Number: Form 8925. Abstract...

  7. 76 FR 47648 - Proposed Collection; Comment Request for Form 8697

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-05

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506... Under the Look-Back Method for Completed Long-Term Contracts. DATES: Written comments should be received... Completed Long-Term Contracts. OMB Number: 1545-1031. Form Number: Form 8697. Abstract: Taxpayers who are...

  8. 76 FR 32404 - Proposed Collection; Comment Request for Form 8864

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-06

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8864, Biodiesel Fuels Credit... Internet at Joel.P.Goldberger@irs.gov . SUPPLEMENTARY INFORMATION: Title: Biodiesel Fuels Credit. OMB..., added new code section 40A, credit for biodiesel used as a fuel. Form 8864 has been developed to allow...

  9. 75 FR 33885 - Proposed Collection; Comment Request for Form 5498

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-15

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 5498, IRA Contribution... 20224, or through the Internet, at Elaine.H.Christophe@irs.gov . SUPPLEMENTARY INFORMATION: Title: IRA... (IRA). The information on the form will be used by IRS to verify compliance with the reporting...

  10. 76 FR 34810 - Proposed Collection; Comment Request for Form 8810

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-14

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8810, Corporate Passive... INFORMATION: Title: Corporate Passive Activity Loss and Credit Limitations. OMB Number: 1545-1091. Form...

  11. 76 FR 39473 - Proposed Collection; Comment Request for Form 3491

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-06

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 3491, Consumer Cooperative...: Consumer Cooperative Exemption Application. OMB Number: 1545-1941. Form Number: A cooperative uses...

  12. 77 FR 31688 - Proposed Collection; Comment Request for Form 8908

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-29

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8908, Energy Efficient Home... through the Internet at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title: Energy Efficient Home... producing new energy efficient homes. We created Form 8908 to reflect new code section 45L which...

  13. 76 FR 23645 - Proposed Collection; Comment Request for Form 8937

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-27

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8937, Report of Organizational... INFORMATION: Title: Report of Organizational Actions Affecting Basis of Securities. OMB Number: 1545-XXXX. Form Number: 8937. Abstract: Organizational actions that affect the basis of stock will be reported on...

  14. 75 FR 11635 - Proposed Collection; Comment Request for Form 8806

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-11

    ... Acquisition of Control or Substantial Change in Capital Structure. DATES: Written comments should be received... Structure. OMB Number: 1545-1869. Form Number: 8806. Abstract: Form 8806 is used to report information regarding transactions involving acquisition of control or substantial change in capital structure under...

  15. 78 FR 53008 - Proposed Collection; Comment Request for Form 13094

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ... comments concerning Form 13094, Recommendation for Juvenile Employment with the Internal Revenue Service....VanDyke@irs.gov . SUPPLEMENTARY INFORMATION: Title: Recommendation for Juvenile Employment with the... juveniles seeking employment with the IRS. The data collected on Form 13094 provides the Internal...

  16. 75 FR 32989 - Proposed Collection; Comment Request for Form 706

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-10

    ... Internal Revenue Code section 2001 and the Federal generation-skipping transfer (GST) tax imposed by Code section 2601. The IRS uses the information on the form to enforce the estate and GST tax provisions of the...

  17. 78 FR 28020 - Proposed Collection: Comment Request for Form 5498.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-13

    ... collection of information displays a valid OMB control number. Books or records relating to a collection of... techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs...

  18. 78 FR 60378 - Proposed Collection; Comment Request for Form 1023

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-01

    ... number. Books or records relating to a collection of information must be retained as long as their... through the use of automated collection techniques or other forms of information technology; and (e...

  19. 78 FR 48773 - Proposed Collection; Comment Request for Form 8866

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-09

    ... information unless the collection of information displays a valid OMB control number. Books or records... of automated collection techniques or other forms of information technology; and (e) estimates of...

  20. 78 FR 78515 - Proposed Collection; Comment Request for Form 14242

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-26

    ... information unless the collection of information displays a valid OMB control number. Books or records... of automated collection techniques or other forms of information technology; and (e) estimates of...

  1. 78 FR 42819 - Proposed Collection; Comment Request for Form 709

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-17

    ... information unless the collection of information displays a valid OMB control number. Books or records... of automated collection techniques or other forms of information technology; and (e) estimates of...

  2. 78 FR 46690 - Proposed Collection; Comment Request for Form 1118

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-01

    ...) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to... correctly. Current Actions: There are no changes being made to the form at this time. Type of Review...

  3. 78 FR 46690 - Proposed Collection; Comment Request for Form 8855

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-01

    ...) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to... election period. Current Actions: There are no changes being made to the form at this time. Type of Review...

  4. 78 FR 27296 - Proposed Collection; Comment Request for Form 3520

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    ...) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to... previously approved by OMB. This form is being submitted for renewal purposes only. Type of Review: Extension...

  5. 77 FR 63924 - Proposed Collection; Comment Request for Form 8824

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-17

    ...) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to... no changes being made to the form at this time. Type of Review: Extension of a currently approved...

  6. 78 FR 69529 - Proposed Collection; Comment Request for Form 8945

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-19

    ... techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs... submitted for renewal purposes only. Type of Review: Extension of a currently approved collection. Affected...

  7. 78 FR 21707 - Proposed Collection; Comment Request for Form 8865

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ...) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to... this form at this time. Type of Review: Extension of a currently approved collection. Affected Public...

  8. 78 FR 46688 - Proposed Collection; Comment Request for Form 706

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-01

    ... information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance... form at this time. Type of Review: Extension of a currently approved collection. Affected Public...

  9. 77 FR 35479 - Proposed Collection; Comment Request for Form 8881

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-13

    ... Pension Plan Startup Costs. DATES: Written comments should be received on or before August 13, 2012 to be...: Credit for Small Employer Pension Plan Startup Costs. OMB Number: 1545-1810. Form Number: 8881....

  10. 75 FR 5868 - Proposed Collection; Comment Request for Form 966

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ...)). Currently, the IRS is soliciting comments concerning Form 966, Corporate Dissolution or Liquidation. DATES... Internet at Dawn.E.Bidne@irs.gov . SUPPLEMENTARY INFORMATION: Title: Corporate Dissolution or Liquidation...

  11. 75 FR 53740 - Proposed Collection; Comment Request for Form 8851

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-01

    ... comments concerning Form 8851, Summary of Archer MSAs. DATES: Written comments should be received on or... RJoseph.Durbala@irs.gov . SUPPLEMENTARY INFORMATION: Title: Summary of Archer MSAs. OMB Number:...

  12. 75 FR 10024 - Proposed Collection; Comment Request for Form 1128

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-04

    ...: Section 442 of the Internal Revenue Code requires that a change in a taxpayer's annual accounting period... on the form to determine whether the application should be approved. Current Actions: There are no...) estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services...

  13. 78 FR 69937 - Proposed Collection; Comment Request for Form 8835

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-21

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8835, Renewable Electricity... internet at Lanita.VanDyke@irs.gov . SUPPLEMENTARY INFORMATION: Title: Renewable Electricity Production... electricity production credit. The credit is allowed for the sale of electricity produced in the United...

  14. 75 FR 38869 - Proposed Collection; Comment Request for Form 4562

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-06

    ... Form 4562, Depreciation and Amortization (Including Information on Listed Property). DATES: Written... internet, at Elaine.H.Christophe@irs.gov . SUPPLEMENTARY INFORMATION: Title: Depreciation and Amortization... 4562 is used to claim a deduction for depreciation and amortization; to make the election to...

  15. 78 FR 57219 - Proposed Collection; Comment Request for Form 4562

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-17

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 4562, Depreciation and... internet, at Kerry.Dennis@irs.gov . SUPPLEMENTARY INFORMATION: Title: Depreciation and Amortization... 4562 is used to claim a deduction for depreciation and amortization; to make the election to...

  16. 78 FR 57218 - Proposed Collection; Comment Request for Form 8910

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-17

    ...-in'' electric vehicle facilities (IRC 30B(i)(4), and Public Law 111-5, s. 1142) expired, requiring...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8910, Alternative Motor Vehicle... Katherine.b.dean@irs.gov . SUPPLEMENTARY INFORMATION: Title: Alternative Motor Vehicle Credit. OMB...

  17. 78 FR 13157 - Proposed Collection; Comment Request for Form 13803

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-26

    ... necessary to complete the e-services enrollment process for IVES users and to identify delegates receiving... collection of information unless the collection of information displays a valid OMB control number. Books or... through the use of automated collection techniques or other forms of information technology; and (e...

  18. 78 FR 46415 - Proposed Collection; Comment Request for Form 8923

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-31

    ..., as part of its continuing effort to reduce paperwork and respondent burden, invites the general...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8923, Mine Rescue Team Training... Internet at ( Martha.R.Brinson@irs.gov ). ] SUPPLEMENTARY INFORMATION: Title: Mine Rescue Team Training...

  19. 75 FR 51879 - Proposed Collection; Comment Request for Form 1023

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ... Form 1023, Application for Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue...: Application for Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code. OMB Number... No: 2010-20890] DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection;...

  20. 75 FR 42828 - Proposed Collection; Comment Request for Form 8825

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-22

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8825, Rental Real Estate Income...@irs.gov . SUPPLEMENTARY INFORMATION: Title: Rental Real Estate Income and Expenses of a Partnership or... rental real estate activities, including net income or loss from rental real estate activities that...

  1. 78 FR 16364 - Proposed Collection; Comment Request for Form 1128

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-14

    ..., Change, or Retain a Tax Year. DATES: Written comments should be received on or before May 13, 2013 to be... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506...: Application to Adopt, Change, or Retain a Tax Year. OMB Number: 1545-0134. Form Number: 1128. Abstract...

  2. 77 FR 31912 - Proposed Collection; Comment Request for Form 712

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-30

    ...)). Currently, the IRS is soliciting comments concerning Form 712, Life Insurance Statement. DATES: Written... Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title: Life Insurance Statement. OMB Number: 1545... if insurance on the decedent's life is includible in the gross estate and to determine the value of...

  3. 75 FR 69739 - Proposed Collection; Comment Request for Form 8921

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-15

    ... Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8921, Applicable Insurance Contracts Information Return. DATES: Written comments....P.Goldberger@irs.gov . Title: Applicable Insurance Contracts Information Return. OMB Number: 1545...

  4. 78 FR 10264 - Proposed Collection; Comment Request for Form 8870

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506... Transfers Associated With Certain Personal Benefit Contracts. DATES: Written comments should be received on... Personal Benefit Contracts. OMB Number: 1545-1702. Form Number: 8870. Abstract: Section 537 of the Ticket...

  5. 77 FR 71036 - Proposed Collection; Comment Request for Form 2439

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-28

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13(44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 2439, Notice to Shareholder of... INFORMATION: Title: Notice to Shareholder of Undistributed Long-Term Capital Gains. OMB Number: 1545-0145...

  6. 76 FR 40774 - Proposed Collection; Comment Request for Form 8621

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-11

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13(44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8621, Return by a Shareholder....Durbala@irs.gov . SUPPLEMENTARY INFORMATION: Title: Return by a Shareholder of a Passive Foreign...

  7. 77 FR 65770 - Proposed Collection; Comment Request for Form 3468

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-30

    ... information or copies of the form and instructions should be directed to Allan Hopkins at Internal Revenue... the Internet at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title: Investment Credit. OMB..., and purchase of services to provide information. Approved: October 23, 2012. Allan Hopkins,...

  8. 77 FR 64379 - Proposed Collection; Comment Request for Form 1000

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... information or copies of the form and instructions should be directed to Allan Hopkins, at (202) 622-6665, or... through the internet at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title: Ownership Certificate... provide information. Approved: October 15, 2012. Allan Hopkins, Tax Analyst. BILLING CODE 4830-01-P...

  9. 78 FR 40828 - Proposed Collection: Comment Request for Form 8875

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ... additional information or copies of the form and instructions should be directed to Allan Hopkins, (202) 622... ] through the internet, at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title: Taxable REIT..., and purchase of services to provide information. Approved: June 17, 2013. Allan Hopkins, Tax...

  10. 77 FR 59456 - Proposed Collection; Comment Request for Form 8281

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-27

    ... information or copies of the form and instructions should be directed to Allan Hopkins at Internal Revenue... the internet at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title: Information Return for..., 2012. Allan Hopkins, Tax Analyst. [FR Doc. 2012-23737 Filed 9-26-12; 8:45 am] BILLING CODE 4830-01-P...

  11. 77 FR 57194 - Proposed Collection; Comment Request for Form 8611

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8611, Recapture of Low-Income... of residential rental projects providing low-income housing to claim a credit against their income... through the Internet at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title: Recapture of...

  12. 76 FR 62499 - Proposed Collection; Comment Request for Form 8693

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-07

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8693, Low-Income Housing Credit... through the Internet at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title: Low-Income Housing... the low-income housing credit has been claimed, the taxpayer may post a bond ] in lieu of paying...

  13. 76 FR 65320 - Proposed Collection; Comment Request for Form 4029

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-20

    ... from Social Security and Medicare Taxes and Waiver of Benefits. DATES: Written comments should be... Elaine.H.Christophe@irs.gov . SUPPLEMENTARY INFORMATION: Title: Application for Exemption from Social...: Form 4029 is used by members of recognized religious groups ] to apply for exemption from social...

  14. 76 FR 32403 - Proposed Collection; Comment Request for Form 2678

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-06

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 2678, Employer/Payer...-3634, or through the Internet at RJoseph.Durbala@irs.gov . SUPPLEMENTARY INFORMATION: Title: Employer...

  15. 78 FR 70101 - Proposed Collection; Comment Request for Form 3800

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 3800, General Business Credit..., at Martha.R.Brinson@irs.gov . SUPPLEMENTARY INFORMATION: Title: General Business Credit. OMB...

  16. 76 FR 9077 - Proposed Collection; Comment Request for Form 2553

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-16

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506... Business Corporation. DATES: Written comments should be received on or before April 18, 2011 to be assured...: Title: Election by a Small Business Corporation. OMB Number: 1545-0146. Form Number: 2553....

  17. 76 FR 30434 - Proposed Collection; Comment Request for Form 5309

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-25

    ... Form 5309, Application for Determination of Employee Stock Ownership Plan. DATES: Written comments... . SUPPLEMENTARY INFORMATION: Title: Application for Determination of Employee Stock Ownership Plan. OMB Number.... Estimated Number of Respondents: 2,500. Estimated Time per Respondent: 10 hrs, 47 minutes. Estimated Total...

  18. 75 FR 5855 - Proposed Collection; Comment Request for Form 6197

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 6197, Gas Guzzler Tax. DATES... Internet at Dawn.E.Bidne@irs.gov . SUPPLEMENTARY INFORMATION: Title: Gas Guzzler Tax. OMB Number:...

  19. 75 FR 15488 - Proposed Collection; Comment Request for Form 8868.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-29

    ... of Time To File an Exempt Organization Return. DATES: Written comments should be received on or... . SUPPLEMENTARY INFORMATION: Title: Application for Extension of Time To File an Exempt Organization Return. OMB... certain exempt organization return. Current Actions: There are changes being made to the form at this time...

  20. 77 FR 31913 - Proposed Collection; Comment Request for Form 7004

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-30

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506... Extension of Time to File Certain Business Income Tax, Information, and Other Returns. DATES: Written... Certain Business Income Tax, Information, and Other Returns. OMB Number: 1545-0233. Form Number: 7004...

  1. 78 FR 29205 - Proposed Collection; Comment Request for Form 4952

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-17

    ... public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 4952, Investment...

  2. 75 FR 33380 - Proposed Collection; Comment Request for Form 4952

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-11

    ... public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 4952, Investment...

  3. 77 FR 68887 - Proposed Collection; Comment Request for Form 2063

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ... . SUPPLEMENTARY INFORMATION: Title: U.S. Departing Alien Income Tax Statement. OMB Number: 1545-0138. Form Number... proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995... 2063, U.S. Departing Alien Income Tax Statement. DATES: Written comments should be received on or...

  4. 75 FR 53018 - Proposed Collection; Comment Request for Form 13094

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-30

    ... Juvenile Employment with the Internal Revenue Service. DATES: Written comments should be received on or....gov . SUPPLEMENTARY INFORMATION: Title: Recommendation for Juvenile Employment with the Internal... juveniles for employment within the Service. Current Actions: There are no changes being made to the form...

  5. 77 FR 45418 - Proposed Collection; Comment Request for Form 14145

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-31

    ... enter into a database to allow the IRS to send information about jobs to potential applicants. Cards are... techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C....

  6. 76 FR 10669 - Proposed Collection; Comment Request for Form 8896

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-25

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8896, Low Sulfur Diesel Fuel... Internet at Joel.P.Goldberger@irs.gov . SUPPLEMENTARY INFORMATION: Title: Low Sulfur Diesel Fuel Production... refiners to claim a credit for the production of low sulfur diesel fuel. The American Jobs Creation Act...

  7. The Effectiveness of Clinician Education on the Adequate Completion of Laboratory Test Request Forms at a Tertiary Hospital

    PubMed Central

    Osegbe, ID; Afolabi, O; Onyenekwu, CP

    2016-01-01

    Background: Inadequately completed laboratory test request forms contribute to preanalytical errors and limit the advice of pathologists when interpreting laboratory test results. Educating clinicians about this has been proposed by several studies as a strategy to reduce the occurrence. Aim: We aimed to determine the effectiveness of such education on the prevalence of adequately completed laboratory test request forms. Subjects and Methods: This was a quasi-experimental study conducted at the chemical pathology laboratory of the Lagos University Teaching Hospital, Nigeria. Incoming laboratory request forms were audited for a period of 1 month looking out for eight data variables. Subsequently, intensive clinician education was undertaken via seminars, publications, and orientation programs on 670 clinicians for 6 weeks duration. After that, a repeat audit for the same data variables was conducted for another period of 1 month. A Z-test of significance for the comparison of independent proportions was conducted for form errors pre- and post-intervention. Results: Error rates for missing variables pre- and post-clinician education were: Name pre = 0 (0%), post = 0 (0%); age pre = 330 (21.6%), post = 28 (1.9%), P < 0.001; gender pre = 64 (4.2%), post = 53 (3.6%), P = 0.37; hospital number pre = 848 (55.6%), post = 524 (35.3%), P < 0.001; clinician name pre = 165 (10.8%), post = 64 (4.3%), P < 0.001; ward/clinic pre = 311 (20.4%), post = 235 (15.8%), P < 0.01; clinical diagnosis pre = 220 (14.4%), post = 33 (2.2%), P < 0.001; specimen type pre = 169 (11.1%), post = 116 (7.8%), P < 0.01, respectively. Conclusion: There was an improvement in the inadequate completion of laboratory request forms after clinicians were educated on proper completion using various interactive media, showing that it is an effective strategy. However, further studies are required to identify which educational strategy is most effective in reducing error rates in laboratory test request forms

  8. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 2 2013-07-01 2012-07-01 true DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in §...

  9. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 2 2011-07-01 2007-07-01 true DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in §...

  10. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 2 2012-07-01 2012-07-01 false DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in §...

  11. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 2 2014-07-01 2012-07-01 true DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in §...

  12. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in §...

  13. 76 FR 12416 - Proposed Collection; Comment Request for Form 8834

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-07

    ...The Department of the Treasury, as part of its continuing effort to reduce paperwork and respondent burden, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8834, Qualified Electric Vehicle Credit.

  14. 78 FR 29433 - Proposed Collection; Comment Request for Form 8801

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-20

    ...The Department of the Treasury, as part of its continuing effort to reduce paperwork and respondent burden, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8801, Credit For Prior Year Minimum Tax--Individuals, Estates and Trusts.

  15. Clinical Forms of Chikungunya in Gabon, 2010

    PubMed Central

    Caron, Mélanie; Grard, Gilda; Mombo, Illich; Bikié, Branly; Paupy, Christophe; Becquart, Pierre; Bisvigou, Ulrich; Leroy, Eric Maurice

    2012-01-01

    Background Chikungunya virus (CHIKV) has caused multiple outbreaks in tropical and temperate areas worldwide, but the clinical and biological features of this disease are poorly described, particularly in Africa. We report a prospective study of clinical and biological features during an outbreak that occurred in Franceville, Gabon in 2010. Methodology/Principal Findings We collected, in suspect cases (individuals presenting with at least one of the following symptoms or signs: fever, arthralgias, myalgias, headaches, rash, fatigue, nausea, vomiting, diarrhea, bleeding, or jaundice), blood samples, demographic and clinical characteristics and outcome. Hematological and biochemical tests, blood smears for malaria parasites and quantitative PCR for CHIKV then dengue virus were performed. CHIKV+ patients with concomitant malaria and/or dengue were excluded from the study. From May to July 2010, data on 270 laboratory-confirmed CHIK patients were recorded. Fever and arthralgias were reported by respectively 85% and 90% of patients, while myalgias, rash and hemorrhage were noted in 73%, 42% and 2% of patients. The patients were grouped into 4 clinical categories depending on the existence of fever and/or joint pain. On this basis, mixed forms accounted for 78.5% of cases, arthralgic forms 12.6%, febrile forms 6.7% and unusual forms (without fever and arthralgias) 2.2%. No cases of organ failure or death were reported. Elevated liver enzyme and creatinine levels, anemia and lymphocytopenia were the predominant biological abnormalities, and lymphocytopenia was more severe in patients with high viral loads (p = 0.01). Conclusions/Significance During CHIK epidemics, some patients may not have classical symptoms. The existence of unusual forms and the absence of severe forms of CHIK call for surveillance to detect any change in pathogenicity. PMID:22348166

  16. The impact of automating laboratory request forms on the quality of healthcare services.

    PubMed

    Dogether, Majed Al; Muallem, Yahya Al; Househ, Mowafa; Saddik, Basema; Khalifa, Mohamed

    In recent decades, healthcare organizations have undergone a significant transformation with the integration of Information and Communication Technologies within healthcare operations to improve healthcare services. Various technologies such as Hospital Information Systems (HIS), Electronic Health Records (EHR) and Laboratory Information Systems (LIS) have been incorporated into healthcare services. The aim of this study is to evaluate the completeness of outpatients' laboratory paper based request forms in comparison with a electronic laboratory request system. This study was carried out in the laboratory department at King Abdulaziz Medical City (KAMC), National Guard Health Affairs, Riyadh, Saudi Arabia. We used a sample size calculator for comparing two proportions. We estimated the sample size to be 228 for each group. Any laboratory requests including paper and electronic forms were included. We categorized the clarity of the forms into understandable, readable, and unclear. A total of 57 incomplete paper forms or 25% were identified as being incomplete. For electronic forms, there were no incomplete fields, as all fields were mandatory, therefore, rendering them complete. The total of understandable paper-based laboratory forms was 11.4%. Additionally, it was found that the total of readable was 33.8% and the total for unclear was 54.8%, while for electronic-based forms, there were no unclear forms. Electronic based laboratory forms provide a more complete, accurate, clear, and understandable format than paper-based laboratory records. Based on these findings, KAMC should move toward the implementation of electronic-based laboratory request forms for the outpatient laboratory department. Copyright © 2016 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

  17. 15 CFR Appendix I to Part 700 - Form BIS-999-Request for Special Priorities Assistance

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 15 Commerce and Foreign Trade 2 2010-01-01 2010-01-01 false Form BIS-999-Request for Special Priorities Assistance I Appendix I to Part 700 Commerce and Foreign Trade Regulations Relating to Commerce... SECURITY INDUSTRIAL BASE REGULATIONS DEFENSE PRIORITIES AND ALLOCATIONS SYSTEM Pt. 700, App. I Appendix...

  18. 31 CFR Appendix I to Part 13 - Form of Request for Assistance

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance: Treasury 1 2012-07-01 2012-07-01 false Form of Request for Assistance I Appendix I to Part 13 Money and Finance: Treasury Office of the Secretary of the Treasury PROCEDURES FOR PROVIDING ASSISTANCE TO STATE AND LOCAL GOVERNMENTS IN PROTECTING FOREIGN DIPLOMATIC MISSIONS Pt. 13, App....

  19. 31 CFR Appendix I to Part 13 - Form of Request for Assistance

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance: Treasury 1 2013-07-01 2013-07-01 false Form of Request for Assistance I Appendix I to Part 13 Money and Finance: Treasury Office of the Secretary of the Treasury PROCEDURES FOR PROVIDING ASSISTANCE TO STATE AND LOCAL GOVERNMENTS IN PROTECTING FOREIGN DIPLOMATIC MISSIONS Pt. 13, App....

  20. 15 CFR Appendix I to Part 700 - Form BIS-999-Request for Special Priorities Assistance

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 15 Commerce and Foreign Trade 2 2012-01-01 2012-01-01 false Form BIS-999-Request for Special Priorities Assistance I Appendix I to Part 700 Commerce and Foreign Trade Regulations Relating to Commerce... SECURITY INDUSTRIAL BASE REGULATIONS DEFENSE PRIORITIES AND ALLOCATIONS SYSTEM Pt. 700, App. I Appendix...

  1. 31 CFR Appendix I to Part 13 - Form of Request for Assistance

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance: Treasury 1 2011-07-01 2011-07-01 false Form of Request for Assistance I Appendix I to Part 13 Money and Finance: Treasury Office of the Secretary of the Treasury PROCEDURES FOR PROVIDING ASSISTANCE TO STATE AND LOCAL GOVERNMENTS IN PROTECTING FOREIGN DIPLOMATIC MISSIONS Pt. 13, App....

  2. 15 CFR Appendix I to Part 700 - Form BIS-999-Request for Special Priorities Assistance

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 15 Commerce and Foreign Trade 2 2013-01-01 2013-01-01 false Form BIS-999-Request for Special Priorities Assistance I Appendix I to Part 700 Commerce and Foreign Trade Regulations Relating to Commerce... SECURITY INDUSTRIAL BASE REGULATIONS DEFENSE PRIORITIES AND ALLOCATIONS SYSTEM Pt. 700, App. I Appendix...

  3. 15 CFR Appendix I to Part 700 - Form BIS-999-Request for Special Priorities Assistance

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 15 Commerce and Foreign Trade 2 2011-01-01 2011-01-01 false Form BIS-999-Request for Special Priorities Assistance I Appendix I to Part 700 Commerce and Foreign Trade Regulations Relating to Commerce... SECURITY INDUSTRIAL BASE REGULATIONS DEFENSE PRIORITIES AND ALLOCATIONS SYSTEM Pt. 700, App. I Appendix...

  4. 76 FR 34091 - Notice of Proposed Information Collection: Comment Request; Form HUD-9834 Management Review for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-10

    ... Administrators (CAs) to evaluate the quality of project management; determine the causes of project problems... Management Review for Multifamily Housing Projects. Estimation of the total numbers of hours needed to... URBAN DEVELOPMENT Notice of Proposed Information Collection: Comment Request; Form HUD-9834...

  5. 31 CFR Appendix I to Part 13 - Form of Request for Assistance

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Form of Request for Assistance I Appendix I to Part 13 Money and Finance: Treasury Office of the Secretary of the Treasury PROCEDURES FOR PROVIDING ASSISTANCE TO STATE AND LOCAL GOVERNMENTS IN PROTECTING FOREIGN DIPLOMATIC MISSIONS Pt. 13, App....

  6. 24 CFR 2002.21 - Authority to deny requests for records and form of denial.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Authority to deny requests for records and form of denial. 2002.21 Section 2002.21 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF INSPECTOR GENERAL, DEPARTMENT OF HOUSING AND...

  7. 77 FR 44698 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-30

    ... Social Security Administration and survivor benefits are paid by that agency instead of the RRB. The... for. To collect the information, the RRB uses Forms AA-11a, Designation for Change of Beneficiary for..., AA-21, G-131, G-273a. Type of request: Extension without change of a currently approved collection...

  8. 20 CFR 726.307 - Form of notice of contest and request for hearing.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 4 2013-04-01 2013-04-01 false Form of notice of contest and request for hearing. 726.307 Section 726.307 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED BLACK LUNG...

  9. 20 CFR 726.307 - Form of notice of contest and request for hearing.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 4 2012-04-01 2012-04-01 false Form of notice of contest and request for hearing. 726.307 Section 726.307 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED BLACK LUNG...

  10. 20 CFR 726.307 - Form of notice of contest and request for hearing.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 4 2014-04-01 2014-04-01 false Form of notice of contest and request for hearing. 726.307 Section 726.307 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED BLACK LUNG...

  11. 24 CFR 2002.21 - Authority to deny requests for records and form of denial.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... records and form of denial. 2002.21 Section 2002.21 Housing and Urban Development Regulations Relating to... DEVELOPMENT AVAILABILITY OF INFORMATION TO THE PUBLIC § 2002.21 Authority to deny requests for records and... with § 2002.25; and (5) Be signed by the Assistant Inspector General responsible for the denial. (b...

  12. 45 CFR 150.407 - Form and content of request for hearing.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Form and content of request for hearing. 150.407 Section 150.407 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS Administrative Hearings §...

  13. 45 CFR 150.407 - Form and content of request for hearing.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Form and content of request for hearing. 150.407 Section 150.407 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS Administrative Hearings §...

  14. 45 CFR 150.407 - Form and content of request for hearing.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Form and content of request for hearing. 150.407 Section 150.407 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS Administrative Hearings §...

  15. 40 CFR 178.27 - Form and manner of submission of request for evidentiary hearing.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Form and manner of submission of request for evidentiary hearing. 178.27 Section 178.27 Protection of Environment ENVIRONMENTAL PROTECTION... copy of any report, article, survey, or other written document (or the pertinent pages thereof) upon...

  16. 40 CFR 178.27 - Form and manner of submission of request for evidentiary hearing.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 25 2013-07-01 2013-07-01 false Form and manner of submission of request for evidentiary hearing. 178.27 Section 178.27 Protection of Environment ENVIRONMENTAL PROTECTION... copy of any report, article, survey, or other written document (or the pertinent pages thereof) upon...

  17. 40 CFR 178.27 - Form and manner of submission of request for evidentiary hearing.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 24 2011-07-01 2011-07-01 false Form and manner of submission of request for evidentiary hearing. 178.27 Section 178.27 Protection of Environment ENVIRONMENTAL PROTECTION... copy of any report, article, survey, or other written document (or the pertinent pages thereof) upon...

  18. 75 FR 65447 - Agency Information Collection Activities: Proposed Collection; Comment Request Form FNS-648, WIC...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-25

    ... Food and Nutrition Service Agency Information Collection Activities: Proposed Collection; Comment Request Form FNS-648, WIC Local Agency Directory Report AGENCY: Food and Nutrition Service, USDA. ACTION: Notice. SUMMARY: In accordance with the Paperwork Reduction Act of 1995, this notice announces the Food...

  19. 32 CFR Appendix A to Part 203 - Technical Assistance for Public Participation Request Form

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Technical Assistance for Public Participation Request Form A Appendix A to Part 203 National Defense Department of Defense (Continued) OFFICE OF THE... DEFENSE ENVIRONMENTAL RESTORATION ACTIVITIES Pt. 203, App. A Appendix A to Part 203—Technical Assistance...

  20. 49 CFR Appendix A to Subpart H of... - Service Request Form

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 1 2013-10-01 2013-10-01 false Service Request Form A Appendix A to Subpart H of... INDIVIDUALS WITH DISABILITIES (ADA) Over-the-Road Buses (OTRBs) Pt. 37, Subpt. H, App. A Appendix A to Subpart..., provided for trip(s)? Yes ____no ____ 11. Was there a basis recognized by U.S. Department of...

  1. 76 FR 37059 - Agency Information Collection Activities: Proposed Collection; Comment Request-Form FNS-339...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ... Food and Nutrition Service Agency Information Collection Activities: Proposed Collection; Comment Request--Form FNS-339, Federal-State Supplemental Nutrition Program(s) Agreement AGENCY: Food and Nutrition Service, USDA. ACTION: Notice. SUMMARY: In accordance with the Paperwork Reduction Act of 1995...

  2. 77 FR 13070 - Notice of Request for Approval of a New Information Collection for Export/Health Certificate Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-05

    ... approval, from the Office of Management and Budget, for export certificate request forms for dairy products. There are currently 17 different export certificate request forms for dairy products with more expected... Administrator, USDA/AMS/Dairy Programs, Room 2968-S, 1400 Independence Avenue SW., Washington, DC 20090-6465...

  3. [Clinical forms of post-traumatic depression].

    PubMed

    Auxéméry, Y

    2015-09-01

    As a result of determinants specific to the psychopathological structure of the psychological trauma, psycho-traumatised patients very rarely solicit the health care system directly with a request for treatment centred on their trauma. The medical profession is consulted for non-specific symptoms and complications, which are mainly somatoform, addictions and depressive disorders. After a few epidemiological reminders followed by a discussion concerning contemporary depressive and post-traumatic nosographic features, we define, through our clinical experience collated with the data in the literature, different clinical and etiopathogenic contexts of post-traumatic depression in order to control their therapeutic treatment. Burnout post-traumatic depression in response to re-experiencing is the most common: it is a reactive psycho-physiological burnout in response to the emotional distress re-experienced during flashbacks, insomnia, a constant feeling of insecurity and the deleterious consequences of this symptomatology in terms of social adaptation. A common genetic predisposition affecting serotoninergic regulation seems to be a vulnerability marker of both depressive and psychotraumatic symptoms. In this case, SSRI will be effective on sadness. In addition, these antidepressants have been widely prescribed for the first-line treatment of depressive and psychotraumatic symptoms. However, this pharmacological class is often insufficient in relieving autonomic hyperactivity such as re-experiencing which are mediated more by noradrenergic hyperactivity. SNRI such as venlafaxine can be used as a first-line treatment. Post-traumatic depression with psychotic features congruent with mood is dominated by a feeling of incurability; the subject blames himself and feels guilty about the traumatic event and its consequences. Symptoms of denial of identity are sometimes observed: confined by an intense depersonalization, the psycho-traumatised subject evokes that he is "no

  4. 78 FR 23979 - Proposed Collection; Comment Request for Form 8610 and Schedule A (Form 8610)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-23

    ..., Annual Low-Income Housing Credit Agencies Report, and Schedule A (Form 8610), Carryover Allocation of Low...: Form 8610, Annual Low-Income Housing Credit Agencies Report, and Schedule A (Form 8610), Carryover... 8610). Abstract: State housing credit agencies (Agencies) are required by Code section 42(l)(3) to...

  5. 75 FR 10023 - Proposed Collection; Comment Request for Form 8610 and Schedule A (Form 8610)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-04

    ..., Annual Low-Income Housing Credit Agencies Report, and Schedule A ] (Form 8610), Carryover Allocation of...: Form 8610, Annual Low-Income Housing Credit Agencies Report, and Schedule A (Form 8610), Carryover... 8610). Abstract: State housing credit agencies (Agencies) are required by Code section 42(l)(3) to...

  6. 77 FR 64848 - Proposed Collection; Comment Request for Form 1120S, Schedule D, Schedule K-1, and Schedule M-3

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-23

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1120S, Schedule D, Schedule K-1, and Schedule M-3 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... assured of consideration. ADDRESSES: Direct all written comments to Yvette Lawrence, Internal...

  7. Written Computer-Mediated Requests for Help by French-Speaking Students: An Analysis of Their Forms and Functions

    ERIC Educational Resources Information Center

    Puustinen, Minna; Bernicot, Josie; Bert-Erboul, Alain

    2011-01-01

    The present study regarded the self-regulated vs. not-self-regulated function and the indirect vs. direct (i.e., polite vs. impolite) linguistic form of middle school students' requests for help. Natural data (149 requests were sent via an online homework-help forum by French-speaking seventh to ninth graders) was used. Nearly 60% of the requests…

  8. 75 FR 5867 - Proposed Collection; Comment Request for Form 8879-C and Form 8879-I

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... program. Form 8879-C authorizes an officer of a corporation and an electronic return originator (ERO) to... officer and an electronic return originator (ERO) to use a personal identification number (PIN) to...

  9. 78 FR 8223 - Proposed Collection; Comment Request for Form 8879-C and Form 8879-I

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-05

    ... use a personal identification number (PIN) to electronically sign a corporation's electronic income tax return and, if applicable, Electronic Funds Withdrawal Consent. Form 8879-I authorizes a corporate... electronically sign a corporation's electronic income tax return. Current Actions: There are no changes being...

  10. Using pathology-specific laboratory profiles in clinical pathology to reduce inappropriate test requesting: two completed audit cycles.

    PubMed

    Baricchi, Roberto; Zini, Michele; Nibali, Maria Grazia; Vezzosi, Walter; Insegnante, Vincenzo; Manfuso, Clotilde; Polese, Alessandra; Costoli, Valmer; Spelti, Antonio; Formisano, Debora; Orlandini, Danilo; Nicolini, Fausto; Poli, Antonio

    2012-07-03

    Systematic reviews have shown that, although well prepared, the Consensus Guidelines have failed to change clinical practice. In the healthcare district of Castelnovo né Monti (Reggio Emilia, Italy), it became necessary for the GPs and Clinical Pathologists to work together to jointly define laboratory profiles. Observational study with two cycles of retrospective audit on test request forms, in a primary care setting. Objectives of the study were to develop pathology-specific laboratory profiles and to increase the number of provisional diagnoses on laboratory test request forms. A Multiprofessional Multidisciplinary Inter-hospital Work Team developed pathology-specific laboratory profiles for more effective test requesting. After 8 training sessions that used a combined strategy with multifaceted interventions, the 23 General Practitioners (GPs) in the trial district (Castelnovo nè Monti) tested the profiles; the 21 GPs in the Puianello district were the control group; all GPs in both districts participated in the trial. All laboratory tests for both healthcare districts are performed at the Laboratory located in the trial district. A baseline and a 1-year audit were performed in both districts on the GPs' request forms. Seven pathology-specific laboratory profiles for outpatients were developed. In the year after the first audit cycle: 1) the number of tests requested in the trial district was distinctly lower than that in the previous year, with a decrease of about 5% (p < 0.001); 2) the provisional diagnosis on the request forms was 52.8% in the trial district and 42% in the control district (P < 0.001); 3) the decrease of the number of tests on each request form was much more marked in the trial district (8.73 vs. 10.77; p < 0.001). The first audit cycle showed a significant decrease in the number of tests ordered only in the trial district. The combined strategy used in this study improved the prescriptive compliance of most of the GPs involved

  11. 21 CFR 312.42 - Clinical holds and requests for modification.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... access are no longer satisfied. (4) Clinical hold of any study that is not designed to be adequate and... not proceed with a clinical trial on which a clinical hold has been imposed until the sponsor has been... 21 Food and Drugs 5 2014-04-01 2014-04-01 false Clinical holds and requests for modification....

  12. 78 FR 79703 - Submission for OMB Review; 30-Day Comment Request: Application Process for Clinical Research...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-31

    ... for OMB Review; 30-Day Comment Request: Application Process for Clinical Research Training and Medical... contact: Robert M. Lembo, MD, Deputy Director, Office of Clinical Research Training and Medical Education... Process for Clinical Research Training and Medical Education at the Clinical Center and its Impact...

  13. Antibody Request - Office of Cancer Clinical Proteomics Research

    Cancer.gov

    In an effort to provide well-characterized monoclonal antibodies to the scientific community, NCI's Antibody Characterization Program requests cancer-related protein targets for affinity production and distribution.

  14. 77 FR 3289 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-23

    ...In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. chapter 35), the Railroad Retirement Board (RRB) is forwarding an Information Collection Request (ICR) to the Office of Information and Regulatory Affairs (OIRA), Office of Management and Budget (OMB). Our ICR describes the information we seek to collect from the public. Review and approval by OIRA ensures that we impose appropriate paperwork burdens. The RRB invites comments on the proposed collection of information to determine (1) the practical utility of the collection; (2) the accuracy of the estimated burden of the collection; (3) ways to enhance the quality, utility, and clarity of the information that is the subject of collection; and (4) ways to minimize the burden of collections on respondents, including the use of automated collection techniques or other forms of information technology. Comments to the RRB or OIRA must contain the OMB control number of the ICR. For proper consideration of your comments, it is best if the RRB and OIRA receive them within 30 days of the publication date. 1. Title and Purpose of information collection: Application for Benefits Due but Unpaid at Death; OMB 3220-0055. Under Section 2(g) of the Railroad Unemployment Insurance Act (RUIA), benefits that accrued but were not paid because of the death of the employee shall be paid to the same individual(s) to whom benefits are payable under Section 6(a)(1) of the Railroad Retirement Act. The provisions relating to the payment of such benefits are prescribed in 20 CFR 325.5 and 20 CFR 335.5. The RRB provides Form UI-63 for use in applying for the accrued sickness or unemployment benefits unpaid at the death of the employee and for securing the information needed by the RRB to identify the proper payee. One response is requested of each respondent. Completion is required to obtain a benefit. Previous Requests for Comments: The RRB has already published the initial 60-day notice (76 FR 63960 on October 14, 2011

  15. Clinical forms of dermatophytosis (ringworm infection).

    PubMed

    Degreef, Hugo

    2008-01-01

    Dermatophytic infections of the skin, hairs and nails are very common and are very variable in aspect. In skin, inflammatory symptoms are often absent, but in other cases they may be very pronounced, in particular when caused by zoophilic dermatophytes. In onychomycosis, it is very difficult to make the differential diagnosis with other causes of onychodystrophy on purely clinical grounds; indeed, even in case of fungal infection, the causative agent can be suspected on clinical grounds only in a minority of cases. The clinical presentation of skin infections, infections of the scalp and beard, and the nails are presented more in detail.

  16. Facing requests for physician-assisted suicide: toward a practical and principled clinical skill set.

    PubMed

    Emanuel, L L

    1998-08-19

    Requests for physician-assisted suicide are not a new phenomenon, and many physicians are likely to face this challenging situation. This article proposes for professionals an 8-step approach to respond to requests for physician-assisted suicide. The approach seeks to identify and treat the root causes of the request and aims to present a plan for consistent application of a set of clinical skills. Justification for the steps requires only 2 noncontentious principles: the patient should be free of unwanted intervention, and the physician is obligated to provide suffering patients with comfort care. Care based on these 2 principles alone does not include physician-assisted suicide. The approach does, however, justify patient refusal of oral intake in specific circumstances. The approach could resolve a majority of requests for physician-assisted suicide and should be tested further for clinical efficacy.

  17. 78 FR 23981 - Proposed Collection; Comment Request for Form 1041 and Related Schedules D, J, and K-1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-23

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1041 and Related Schedules D, J, and... Form 1041 and related Schedules D, J, and K-1, U.S. Income Tax Return for Estates and Trusts. DATES... Complex Trusts (Schedule J), and Beneficiary's Share of Income, Deductions, Credits, etc. (Schedule...

  18. 75 FR 10018 - Proposed Collection; Comment Request for Form 1041 and Related Schedules D, J, and K-1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-04

    ... Internal Revenue Service Proposed Collection; Comment Request for Form 1041 and Related Schedules D, J, and... Form 1041 and related Schedules D, J, and K-1, U.S. Income Tax Return for Estates and Trusts. DATES... Trusts (Schedule J), and Beneficiary's Share of Income, Deductions, Credits, etc. (Schedule K-1)....

  19. 34 CFR 222.15 - How are the filing deadlines affected by requests for other forms of relief?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... other forms of relief? 222.15 Section 222.15 Education Regulations of the Offices of the Department of... § 222.15 How are the filing deadlines affected by requests for other forms of relief? Unless the... forgiveness of an overpayment under § 222.14 does not extend the time within which an applicant must file...

  20. Incomplete laboratory request forms: the extent and impact on critical results at a tertiary hospital in South Africa.

    PubMed

    Nutt, Louise; Zemlin, Annalise E; Erasmus, Rajiv T

    2008-09-01

    Research has demonstrated that most laboratory errors occur in the preanalytical phase of testing. In view of the paucity of studies examining preanalytical errors, we evaluated our laboratory request forms for the frequency and impact of incomplete data. This study examined all request forms received at our laboratory during a five-day period. The forms were scrutinized for the presence of specific parameters. The impact of abbreviated diagnoses was analysed, as well as how lack of ward or telephone details affects the communication of critical results to clinicians. A total of 2550 request forms were analysed. Medication(s) used by the patient (89.6%) and doctor's contact number (61.2%) were the most incomplete parameters. No diagnosis was provided on 19.1% of forms, and when a diagnosis was present it was an abbreviated form in 37.3%. This resulted in 35.5% of diagnoses not being recorded by reception staff. Incomplete ward information was found on 4.9% of forms. In a separate search, the impact of 151 request forms (collected over a period of eight months), with incomplete ward location information and corresponding to critical results was assessed. Critical results were not communicated by telephone to clinicians in 19.9% of cases. As laboratory data influences 70% of medical diagnoses, incorrect or incomplete data provided to the laboratory could significantly impact the success and cost of overall treatment.

  1. Facing requests for euthanasia: a clinical practice guideline

    PubMed Central

    Gastmans, C; Van Neste, F; Schotsmans, P

    2004-01-01

    On 23 September 2002, the Belgian law on euthanasia came into force. This makes Belgium the second country in the world (after the Netherlands) to have an Act on euthanasia. Even though there is currently legal regulation of euthanasia in Belgium, very little is known about how this legal regulation could be translated into care for patients who request euthanasia. PMID:15082821

  2. The Varied Circumstances Prompting Requests for Emergency Contraception at School-Based Clinics

    ERIC Educational Resources Information Center

    Sidebottom, Abbey; Harrison, Patricia A.; Amidon, Donna; Finnegan, Katie

    2008-01-01

    Background: Little is known about the circumstances that prompt teenagers to request emergency contraception (EC). This evaluation was designed to refine the EC clinical protocol and improve pregnancy prevention efforts in high school-based clinics by analyzing information on EC use and subsequent contraception use of EC patients. Methods: Sites…

  3. The Varied Circumstances Prompting Requests for Emergency Contraception at School-Based Clinics

    ERIC Educational Resources Information Center

    Sidebottom, Abbey; Harrison, Patricia A.; Amidon, Donna; Finnegan, Katie

    2008-01-01

    Background: Little is known about the circumstances that prompt teenagers to request emergency contraception (EC). This evaluation was designed to refine the EC clinical protocol and improve pregnancy prevention efforts in high school-based clinics by analyzing information on EC use and subsequent contraception use of EC patients. Methods: Sites…

  4. 75 FR 2549 - Clinical Accuracy Requirements for Point of Care Blood Glucose Meters; Public Meeting; Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-15

    ... Glucose Meters; Public Meeting; Request for Comments AGENCY: Food and Drug Administration, HHS. ACTION... public meeting entitled: Clinical Accuracy Requirements for Point of Care Blood Glucose Meters. The purpose of the public meeting is to discuss the clinical accuracy requirements of blood glucose meters and...

  5. Clinical outcome indicators, disease prevalence and test request variability in primary care.

    PubMed

    O'Kane, Maurice J; Casey, Lee; Lynch, P L Mark; McGowan, Noel; Corey, John

    2011-03-01

    To describe differences in biochemistry test request rates (adjusted for practice size) between general practices and to investigate whether differences in HbA(1c) and thyroid function test request rates are related either to the practice prevalence of hypothyroidism and diabetes or to Quality and Outcome Framework (QOF) scores. Information on test request rates, prevalence of diabetes and hypothyroidism, and QOF data over a one-year period were obtained from 58 practices covering a population of 284,609 patients. Spearman's rank correlation tests were used to investigate relationships between adjusted test request rates. There was wide variability in adjusted test request rates (lowest for HbA(1c) and highest for immunoglobulins). The ranking of practices for different tests was highly correlated. There was no relationship between adjusted test request rates for HbA(1c) and thyroid function and the reported prevalence of diabetes and hypothyroidism, respectively, nor was there any relationship with QOF scores in diabetes and hypothyroidism. There is wide variability in test request rates in general practice that do not appear to be related to disease prevalence or crude clinical outcome measures.

  6. Failure to review STAT clinical laboratory requests and its economical impact

    PubMed Central

    Rodriguez-Borja, Enrique; Villalba-Martinez, Celia; Barba-Serrano, Esther; Carratala-Calvo, Arturo

    2016-01-01

    Background Failure to follow-up laboratory test results has been described as one of the major processes contributing to unsafe patient care. Currently, most of the laboratories do not know with certainty not only their rate of missed (or unreviewed) requests but the economical cost and impact that this issue implies. The aim of our study was to measure that rate and calculate the resulting costs. Material and methods In January 2015, we checked in our Laboratory Information Management System (LIMS) for every emergency request from 1st July 2011 to 30th June 2014, if they had been reviewed by any allowed user or not. 319,064 requests were ordered during that period of time. Results were expressed as “ordered requests”, “missed requests” and its percentage. Additionally, total cost of missed requests was calculated in euros (€). “Non-productive days” were theorised (as the days producing requests that were not reviewed) based on these results. Results 7924 requests (2.5%) were never reviewed by clinicians. This represented a total cost of 203,039 € and 27 “non-productive” days in three years. Significant differences between inpatients, outpatients and emergency department as well as different emergencies units were found after application of statistical analysis. Conclusions In terms of resources, never reviewed or missed requests appear to be a not negligible problem for the clinical laboratory management. Electronic result delivery, with electronic endorsement to indicate follow-up of requests along with better systems of electronic requesting should be investigated as a way of improving patient outcomes and save unnecessary expenses. PMID:26981019

  7. The customer approach to patienthood. Attending to patient requests in a walk-in clinic.

    PubMed

    Lazare, A; Eisenthal, S; Wasserman, L

    1975-05-01

    This report conceptualizes the initial psychiatric interview as a process of negotiation between the clinician and patient. Patients are conceived of as appearing with one or more requests, many of which represent legitimate needs. It is the clinician's task to elicit the request, collect the relevant clinical data, and enter into a "negotiation" that should foster a relationship of mutual influence between patient and clinician. We have attempted to show that this approach to patienthood not only improves patient care and patient satisfaction but also leads to improved staff morale. The "customer approach" has special relevance to those clinical settings (walk-in clinics and community mental health centers) in which clinicians see a broad range of patients with a broad definition of psychiatric problems and requests.

  8. 24 CFR 2002.21 - Authority to deny requests for records and form of denial.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... criminal investigation or by an agency conducting a lawful national security intelligence investigation... geophysical information and data, including maps, concerning wells. (c) With regard to a request for...

  9. 24 CFR 2002.21 - Authority to deny requests for records and form of denial.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... criminal investigation or by an agency conducting a lawful national security intelligence investigation... geophysical information and data, including maps, concerning wells. (c) With regard to a request for...

  10. Retrieval-oriented design of clinical research forms.

    PubMed

    Gall, W; Eigenbauer, E; Rasoul-Rockenschaub, S

    2001-07-01

    Computerized clinical forms are subject to a wide variety of different requirements. They have to allow detailed documentation and must be user-friendly. State-of-the-art applications for design permit clinicians themselves to create their own forms as needed, with the various variables presented in different ways depending on their intended use. Often, however, only aspects of clinical documentation are considered, with no thought being given to subsequent data retrieval. This article presents guidelines for the retrieval-oriented design of clinical forms. It discusses where anticipatory measures for structuring forms are easier to accomplish than complex data linkage at the time of retrieval and analysis.

  11. 46 CFR 308.530 - Letter requesting increase or decrease in amount of surety bond, Form MA-310.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 8 2014-10-01 2014-10-01 false Letter requesting increase or decrease in amount of surety bond, Form MA-310. 308.530 Section 308.530 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION EMERGENCY OPERATIONS WAR RISK INSURANCE War Risk Cargo Insurance Open Policy War Risk...

  12. Indications for laboratory tests in primary care: assessment of the most frequent indications and requests with blank clinical information

    PubMed Central

    Salinas, Maria; López-Garrigós, Maite; Flores, Emilio; Leiva-Salinas, Maria; Esteban, Patricia; Ahumada, Miguel; Leiva-Salinas, Carlos

    2016-01-01

    Introduction The aim of this work is twofold. Firstly, to study the temporal evolution in the number of laboratory requests from primary care without clinical indication, and to analyse the number of such requests before and after the implementation of an automated requesting procedure. Secondly, to investigate what are the most frequent clinical indications that prompted laboratory testing. Materials and methods This is a retrospective observational study conducted from January 2009 to December 2015. We counted the requests without clinical question, calculated the number of such requests per total number of requests and listed the most frequent indications. Results The number of tests requests with a blank clinical indication was significantly higher in 2009 when compared to 2015 (80% vs. 20%; P < 0.001). For every year in this 7-year period, dyslipidemia, essential hypertension and diabetes were the most prevalent diagnoses that prompted a laboratory test in primary care, accounting for more than 20% of all indications. Conclusions The number of primary care requests without patient clinical question has decreased after the implementation of an automated requesting procedure. Disorders of lipid metabolism, essential hypertension and diabetes mellitus were the most prevalent diagnoses that prompted a laboratory test in primary care. PMID:27812310

  13. 75 FR 62543 - Proposed Collection; Comment Request; National Evaluation of the Clinical and Translational...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... collection projects, the National Center for Research Resources (NCRR), the National Institutes of Health... Clinical and ] Translational Science Awards (CTSA) Initiative. Type of Information Collection Request: New... biomedical research is conducted nationwide by reducing the time it takes for basic science or laboratory...

  14. 75 FR 4827 - Submission for OMB Review; Comment Request Clinical Trials Reporting Program (CTRP) Database (NCI)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-29

    ... Reporting Program (CTRP) Database (NCI) Summary: Under the provisions of Section 3507(a)(1)(D) of the... Program (CTRP) Database. Type of Information Collection Request: REVISION of currently approved collection... developing an electronic resource, the NCI Clinical Trials Reporting Program (CTRP) Database, to serve as...

  15. 78 FR 25290 - Notice of Proposed Information Collection: Comment Request; HUD Standard Grant Application Forms...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-30

    ... URBAN DEVELOPMENT Notice of Proposed Information Collection: Comment Request; HUD Standard Grant... of Strategic Planning and Management, HUD. ACTION: Notice. SUMMARY: The proposed information... Management Officer, QDAM, Department of Housing and Urban Development, 451 Seventh Street SW., Washington, DC...

  16. 77 FR 67792 - Proposed Information Collection; Comment Request; Northeast Region Permit Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-14

    ... Lindsey.Feldman@noaa.gov . SUPPLEMENTARY INFORMATION: I. Abstract This request is for revision and... departure from U.S. waters: 15 minutes; Automatic polling of vessel position using the VMS unit: 0 minutes...

  17. 24 CFR 2002.21 - Authority to deny requests for records and form of denial.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... than an agency in litigation with HUD; (6) Personnel and medical files and similar files the disclosure... be provided to any person requesting the record, after deletion of the portions that are exempt under...

  18. Analysis of Nursing Clinical Decision Support Requests and Strategic Plan in a Large Academic Health System.

    PubMed

    Whalen, Kimberly; Bavuso, Karen; Bouyer-Ferullo, Sharon; Goldsmith, Denise; Fairbanks, Amanda; Gesner, Emily; Lagor, Charles; Collins, Sarah

    2016-01-01

    To understand requests for nursing Clinical Decision Support (CDS) interventions at a large integrated health system undergoing vendor-based EHR implementation. In addition, to establish a process to guide both short-term implementation and long-term strategic goals to meet nursing CDS needs. We conducted an environmental scan to understand current state of nursing CDS over three months. The environmental scan consisted of a literature review and an analysis of CDS requests received from across our health system. We identified existing high priority CDS and paper-based tools used in nursing practice at our health system that guide decision-making. A total of 46 nursing CDS requests were received. Fifty-six percent (n=26) were specific to a clinical specialty; 22 percent (n=10) were focused on facilitating clinical consults in the inpatient setting. "Risk Assessments/Risk Reduction/Promotion of Healthy Habits" (n=23) was the most requested High Priority Category received for nursing CDS. A continuum of types of nursing CDS needs emerged using the Data-Information-Knowledge-Wisdom Conceptual Framework: 1) facilitating data capture, 2) meeting information needs, 3) guiding knowledge-based decision making, and 4) exposing analytics for wisdom-based clinical interpretation by the nurse. Identifying and prioritizing paper-based tools that can be modified into electronic CDS is a challenge. CDS strategy is an evolving process that relies on close collaboration and engagement with clinical sites for short-term implementation and should be incorporated into a long-term strategic plan that can be optimized and achieved overtime. The Data-Information-Knowledge-Wisdom Conceptual Framework in conjunction with the High Priority Categories established may be a useful tool to guide a strategic approach for meeting short-term nursing CDS needs and aligning with the organizational strategic plan.

  19. 78 FR 25416 - Information Collection Request: Web-Based Supply Chain Management Commodity Offer Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ... Farm Service Agency Commodity Credit Corporation Information Collection Request: Web-Based Supply Chain... invitations, however, are issued throughout the month. Web-Based Supply Chain Management (WBSCM) allows... offerors electronically. Awarded contracts will be posted to the FSA Web site and also to the WBSCM portal...

  20. 78 FR 69936 - Proposed Collection; Comment Request for Form 8955-SSA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-21

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506...., Washington, DC 20224. FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of the..., 1111 Constitution Avenue NW., Washington, DC 20224, or through the internet at...

  1. 75 FR 40028 - Proposed Collection; Comment Request for Form 8283-V

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY... Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY: The Department of the Treasury, as part of its continuing effort to reduce paperwork and respondent burden, invites the general...

  2. 14 CFR 155.11 - Form and content of requests for release.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... the District Airport Engineer in whose district the airport is located. (c) Each request for a release... sponsor's environmental assessment prepared in conformance with Appendix 6 of FAA Order 1050.1C, “Policies and Procedures for Considering Environmental Impacts” (45 FR 2244; Jan. 10, 1980), and FAA Order 5050...

  3. 76 FR 30408 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-25

    ... paperwork burdens. The RRB uses a Personal Identification Number (PIN)/Password system that allows RRB... information needed to establish a unique PIN/Password that allows customer access to RRB Internet-based... by the RRB. If the information is verified, the request is approved and the RRB mails a...

  4. 78 FR 40824 - Proposed Collection; Comment Request for Form 8038-TC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ...: Requests for additional information or copies of notice should be directed to Allan Hopkins, at (202) 622... through the internet, at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title: Information Return..., maintenance, and purchase of services to provide information. Approved: June 17, 2013. Allan Hopkins,...

  5. 77 FR 55229 - National Farmworker Jobs Program (NFJP) Information Collection Forms; Comment Request for Regular...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-07

    ... requested data can be provided in the desired format, reporting burden (time and financial resources) is... respondents can be properly assessed. Currently, ETA is soliciting comments concerning the collection of data...) can be obtained by contacting the office listed below in the addresses section of this notice. DATES...

  6. 77 FR 11600 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-27

    ... technology. Comments to the RRB or OIRA must contain the OMB control number of the ICR. For proper... either non-railroad employment or self-employment. Certain types of work may indicate an annuitant's... comments. Information Collection Request (ICR) Title: Continuing Disability Report. OMB Control Number...

  7. Paracoccidioidomycosis: acute-subacute clinical form, juvenile type*

    PubMed Central

    Marques, Silvio Alencar; Lastória, Joel Carlos; de Camargo, Rosangela Maria Pires; Marques, Mariangela Esther Alencar

    2016-01-01

    The authors report aspects of paracoccidioidomycosis, acute-subacute clinical form, juvenile type, in a 19-year-old female patient. Paracoccidioidomycosis, juvenile type, classically occurs in young patients, both sexes, with lymphoma-like aspects as initial presentation. However, following the natural history of the disease the lymph nodes assume patterns of infectious disease, as an abscess and fistulae. Systemic dissemination of the disease can occur and lethality and morbidity are significant in this clinical presentation. PMID:27438214

  8. 75 FR 41245 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-15

    ..., Application to Act as Representative Payee, consisting of RRB Form(s) AA-5, Application for Substitution of... Payee. OMB Control Number: 3220-0052. Form(s) submitted: AA-5, Application for Substitution of Payee; G...

  9. Plasma Biomarkers Discriminate Clinical Forms of Multiple Sclerosis

    PubMed Central

    Tejera-Alhambra, Marta; Casrouge, Armanda; de Andrés, Clara; Seyfferth, Ansgar; Ramos-Medina, Rocío; Alonso, Bárbara; Vega, Janet; Fernández-Paredes, Lidia; Albert, Matthew L.; Sánchez-Ramón, Silvia

    2015-01-01

    Multiple sclerosis, the most common cause of neurological disability in young population after trauma, represents a significant public health burden. Current challenges associated with management of multiple sclerosis (MS) patients stem from the lack of biomarkers that might enable stratification of the different clinical forms of MS and thus prompt treatment for those patients with progressive MS, for whom there is currently no therapy available. In the present work we analyzed a set of thirty different plasma cytokines, chemokines and growth factors present in circulation of 129 MS patients with different clinical forms (relapsing remitting, secondary progressive and primary progressive MS) and 53 healthy controls, across two independent cohorts. The set of plasma analytes was quantified with Luminex xMAP technology and their predictive power regarding clinical outcome was evaluated both individually using ROC curves and in combination using logistic regression analysis. Our results from two independent cohorts of MS patients demonstrate that the divergent clinical and histology-based MS forms are associated with distinct profiles of circulating plasma protein biomarkers, with distinct signatures being composed of chemokines and growth/angiogenic factors. With this work, we propose that an evaluation of a set of 4 circulating biomarkers (HGF, Eotaxin/CCL11, EGF and MIP-1β/CCL4) in MS patients might serve as an effective tool in the diagnosis and more personalized therapeutic targeting of MS patients. PMID:26039252

  10. 76 FR 46781 - Commission Information Collection Activities (FERC Form 1 and FERC Form 1F); Comment Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-03

    ..., and 3Q \\2\\. The FERC Annual/Quarterly Report Forms provide the Commission, as well as others, with an... financial and operating report submitted for electric rate regulation and financial audits. Major is defined as having (1) One million Megawatt hours or more; (2) 100 megawatt hours of annual sales for...

  11. Visual form-processing deficits: a global clinical classification.

    PubMed

    Unzueta-Arce, J; García-García, R; Ladera-Fernández, V; Perea-Bartolomé, M V; Mora-Simón, S; Cacho-Gutiérrez, J

    2014-10-01

    Patients who have difficulties recognising visual form stimuli are usually labelled as having visual agnosia. However, recent studies let us identify different clinical manifestations corresponding to discrete diagnostic entities which reflect a variety of deficits along the continuum of cortical visual processing. We reviewed different clinical cases published in medical literature as well as proposals for classifying deficits in order to provide a global perspective of the subject. Here, we present the main findings on the neuroanatomical basis of visual form processing and discuss the criteria for evaluating processing which may be abnormal. We also include an inclusive diagram of visual form processing deficits which represents the different clinical cases described in the literature. Lastly, we propose a boosted decision tree to serve as a guide in the process of diagnosing such cases. Although the medical community largely agrees on which cortical areas and neuronal circuits are involved in visual processing, future studies making use of new functional neuroimaging techniques will provide more in-depth information. A well-structured and exhaustive assessment of the different stages of visual processing, designed with a global view of the deficit in mind, will give a better idea of the prognosis and serve as a basis for planning personalised psychostimulation and rehabilitation strategies. Copyright © 2011 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

  12. Familial forms of diabetes insipidus: clinical and molecular characteristics.

    PubMed

    Babey, Muriel; Kopp, Peter; Robertson, Gary L

    2011-07-05

    Over the past two decades, the genetic and molecular basis of familial forms of diabetes insipidus has been elucidated. Diabetes insipidus is a clinical syndrome characterized by the excretion of abnormally large volumes of diluted urine (polyuria) and increased fluid intake (polydipsia). The most common type of diabetes insipidus is caused by lack of the antidiuretic hormone arginine vasopressin (vasopressin), which is produced in the hypothalamus and secreted by the neurohypophysis. This type of diabetes insipidus is referred to here as neurohypophyseal diabetes insipidus. The syndrome can also result from resistance to the antidiuretic effects of vasopressin on the kidney, either at the level of the vasopressin 2 receptor or the aquaporin 2 water channel (which mediates the re-absorption of water from urine), and is referred to as renal or nephrogenic diabetes insipidus. Differentiation between these two types of diabetes insipidus and primary polydipsia can be difficult owing to the existence of partial as well as complete forms of vasopressin deficiency or resistance. Seven different familial forms of diabetes insipidus are known to exist. The clinical presentation, genetic basis and cellular mechanisms responsible for them vary considerably. This information has led to improved methods of differential diagnosis and could provide the basis of new forms of therapy.

  13. 76 FR 71389 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-17

    ..., Application for Employer Reporting Internet Access, and Form G-440, Report Specifications Sheet. Form BA-12 is... to the RRB via the Internet. Form BA-12 is also used to terminate an employee's access to ERS. Form G... system access from employers who voluntarily opt to use the RRB's Internet- based Employer...

  14. A two-cycle prospective audit of temporal bone computed tomography scan requests: improving the clinical applicability of radiology reports.

    PubMed

    Qureishi, A; Garas, G; Shah, J; Birchall, J

    2014-01-01

    Radiologists require accurate clinical information to formulate reports. This is particularly relevant to computed tomography of the temporal bone, in which previous surgery can mimic disease. The information provided with temporal bone computed tomography scan requests was evaluated. The study aimed to minimise inappropriate requests and improve the clinical value of reports. A two-cycle prospective audit was undertaken using a proforma designed on the basis of national guidelines. Following the first cycle (in which the requests and reports of 100 scans were evaluated), new guidelines and training were implemented. A follow-up audit (of 50 scans) was then performed. Following intervention, the percentage of clinically relevant reports increased from 52 to 94 (p < 0.01), whilst unnecessary or inappropriate scan requests decreased from 11 to 2 per cent (p < 0.05). Optimising the clinical value of temporal bone computed tomography scan requests will have positive implications for patient care, time management and cost. The quality of the clinical information provided can have a significant impact on the clinical value of radiology reports, and can mean that unnecessary irradiation is avoided.

  15. Handbook for preparation of DOE (Department of Energy) procurement request forms

    SciTech Connect

    Not Available

    1990-11-01

    The Procurement and Assistance Data System (PADS) provides a mechanism for collecting, assembling, organizing, and presenting acquisition and assistance data for the Department of Energy (DOE). This handbook and associated documents establish a uniform system to report acquisition/assistance data to PADS for the collection, processing, and dissemination of official statistical data on the Department's acquisition and assistance actions. The data provides, based on information available at the time of request, a basis for any recurring and special reports to the senior procurement executive, Congress, General Accounting Office (GAO), Federal executive agencies, Office of Management and Budget (OMB), and the general public. PADS is also used to satisfy DOE's statutory reporting requirements to the Office of Management Budget, Congress, and other Federal agencies. Accurate and timely collection of PR data is a key element in this reporting.

  16. Bioethics in practice: Addressing ethically sensitive requests in a Dutch fertility clinic.

    PubMed

    Gerrits, Trudie; Reis, Ria; Braat, Didi D M; Kremer, Jan A M; Hardon, Anita P

    2013-12-01

    This article provides insight into how ethically sensitive requests for the use of assisted reproductive technologies (ARTs) are dealt within the daily practice of a Dutch fertility clinic. The findings presented are part of an ethnographic study conducted in this clinic from September 2003 until April 2005. Information for this article was gathered by attending the multidisciplinary ethics meetings and conversations with clinic staff. By looking at 'bioethics in practice', this article provides insight into the complex and dynamic interplay between particular couples' situations, contextual features, bioethical principles, doctors' subjective feelings and views, and the employment of medical practices. Our study suggests that personal views to a certain extent inform the agenda of the ethics meetings, but in the end neither these views nor bioethical principles fully determine the decisions made. Clinic staff members employ routine medical practices with the intention to carefully resolve ethically sensitive cases. These practices include: collegial consultation, searching for scientific evidence in the literature, obtaining more medical information, offering medical tests, referring couples to other clinics and ensuring informed consent. Rather than examining hypothetical cases, which evoke principles, observations of practices regarding real life cases of which many details are known, allowed us to identify the influence of routine medical practice on ethical decisions. Despite initial concerns from the side of the medical professionals (some of which might be regarded as paternalistic), at the end the reproductive autonomy of most couples seeking ARTs was not jeopardized. The format of the multidisciplinary ethics meetings seems to be promising as it provides a space for clinic staff members to express and reflect on their subjective views and feelings of unease regarding certain requests for ARTs, while at the same time it diminishes the risk that decision

  17. Medical teachers conceptualize a distinctive form of clinical knowledge.

    PubMed

    Barrett, J; Yates, L; McColl, G

    2015-05-01

    For over four decades, there have been efforts to specify the types of knowledge that medical students need, how that knowledge is acquired and how its constituent parts are related. It is one of the areas of continuing concern underlying medical education reform. Despite their importance to medical students' learning and development, the perspectives of medical teachers in hospitals are not always considered in such discourse. This study sought to generate an understanding of these teachers' values, perspectives and approaches by listening to them and seeing them in their everyday teaching work, finding and understanding the meanings they bring to the work of medical teaching in hospitals. In interviews, all of the teachers talked more about the optimal forms of knowledge that are important for students than they talked about the form of the teaching itself. Many revealed to students what knowledge they do and do not value. They had a particular way of thinking about clinical knowledge as existing in the people and the places in which the teaching and the clinical practice happen, and represented this as 'real' knowledge. By implication, there is other knowledge in medical education or in students' heads that is not real and needs to be transformed. Their values, practices and passions add texture and vitality to existing ways of thinking about the characteristics of clinical knowledge, how it is depicted in the discourse and the curriculum and how it is more dynamically related to other knowledge than is suggested in traditional conceptualizations of knowledge relationships.

  18. 78 FR 68903 - Proposed Collection; Comment Request for Form 8879-EX

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-15

    ... techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs... made to the form at this time. Type of Review: Extension of a previously approved collection. Affected...

  19. 78 FR 46688 - Proposed Collection; Comment Request for Form 1098-E

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-01

    ... forms of information technology; and (e) estimates of capital or start-up costs and costs of operation... Actions: There are no changes being made to the form at this time. Type of Review: Extension of a...

  20. 78 FR 14422 - Proposed Collection; Comment Request for Form 8879-S

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs... made to the form at this time. Type of Review: Extension of a currently approved collection. Affected...

  1. 76 FR 43382 - Proposed Collection; Comment Request for Form 5498-SA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 5498-SA, HSA, Archer MSA, or... INFORMATION: Title: HSA, Archer MSA, or Medicare Advantage MSA Information. OMB Number: 1545-1518. Form...

  2. 77 FR 47426 - Agency Information Collection Activities: Request for the Return of Original Documents, Form...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-08

    ... the Return of Original Documents, Form Number G-884; Extension, Without Change, of a Currently... this 60-day period, USCIS will be evaluating whether to revise the Form G-884. Should USCIS decide to revise Form G-884, we will advise the public when we publish the 30-day notice in the Federal Register...

  3. 76 FR 21413 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-15

    ...: Representative Payee Parental Custody Monitoring. OMB Control Number: 3220-0176. Form(s) submitted: G-99D. Type... information: 3220-0176, Representative Payee Parental Custody Report. Out ICR describes the information we... techniques or other forms of information technology. Comments to RRB or OIRA must contain the OMB control...

  4. 77 FR 66877 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-07

    ... country, a manual version of Form AA-1 is used. Form AA-1d, Application for Determination of Employee's... card payment option. Other non-burden-impacting editorial and formatting changes are proposed. One... by telephone, for example, the applicant lives in another country, a manual version of Form AA-17...

  5. 76 FR 53168 - Proposed Collection; Comment Request for Form 990-EZ

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-25

    ... Organization Exempt from Income Tax. DATES: Written comments should be received on or before October 24, 2011... INFORMATION: Title: Short Form Return of Organization Exempt From Income Tax. OMB Number: 1545-1150. Form... organizations exempt from income tax under Code section 501(a). Form 990-EZ is used by tax exempt...

  6. 78 FR 27965 - Agency Information Collection Activities: Submission for OMB Review; Comment Request Re Forms...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-13

    ... Relating To Processing Deposit Insurance Claims AGENCY: Federal Deposit Insurance Corporation (FDIC... on renewal without change of its ``Forms Relating to Processing Deposit Insurance Claims... Deposit Insurance Claims. Forms Currently In Use: Declaration for Public Unit Deposit, Form 7200/04...

  7. 76 FR 55743 - Proposed Collection; Comment Request for Form 941-M

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 941-M, Employer's Monthly...: Employer's Monthly Federal Tax Return. OMB Number: 1545-0718. Form Number: 941-M. Abstract: Form 941-M is...

  8. 77 FR 22614 - OSC Forms and Survey Renewal for FY 2012-Request for Comment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-16

    ... previously approved information collections consisting of three complaint forms and an electronic survey form... OSC Survey expire 9/30/12. We are submitting all three forms and the electronic survey for renewal... Federal agencies, state and local government employees, and the general public are invited to comment on...

  9. 75 FR 49025 - Proposed Collection; Comment Request for Form W-11

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-12

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form W-11, Hiring Incentives to...: Hiring Incentives to Restore Employment (HIRE) Act Employee Affidavit. OMB Number: 1545-2173. Notice Number: Form W-11 Abstract: This form was created in response to the Hiring Incentives to Restore...

  10. 78 FR 70631 - Proposed Collection; Comment Request for Forms 8804, 8804 (Sch. A), 8805 and 8813

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-26

    ... for Underpayment of Estimated Section 1446 Tax by Partnerships; Form 8805, Foreign Partner's... that is allocable to foreign partners. The partnerships use Form 8813 to make payments of withholding..., the IRS is soliciting comments concerning Form 8804, Annual Return for Partnership Withholding...

  11. 75 FR 61841 - Proposed Collection; Comment Request for Forms 8804, 8804 (Sch. A), 8805 and 8813

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ... Underpayment of Estimated Section 1446 Tax by Partnerships; Form 8805, Foreign Partner's Information Statement... Underpayment of Estimated Section 1446 Tax by Partnerships; Form 8805, Foreign Partner's Information Statement... allocable to foreign partners. The partnerships use Form 8813 to make payments of withholding tax to the...

  12. 76 FR 4398 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-25

    ... other forms of information technology. Comments to RRB or OIRA must contain the OMB control number of... annuitant's current maintenance and personal needs and whether the representative payee continues to be...) Title: Representative Payee Monitoring. OMB Control Number: 3220-0151. Form(s) submitted: G-99a, G-99c...

  13. 76 FR 34296 - Proposed Collection; Comment Request for Forms 1040-PR and 1040-SS

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-13

    .... Form Number: Form 1040-PR. Abstract: Form 1040-PR, is used by self-employed individuals to figure and...-employed individuals to figure and report self-employment tax under IRC chapter 2 of Subtitle A, and.... Self- Employment Tax Return (Including the Additional Child Tax Credit for Bona Fide Residents...

  14. 77 FR 5306 - Proposed Collection; Comment Request for Form 4461, 4461-A, and 4461-B

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-02

    ... for Approval of Master or Prototype Defined Contribution Plan; Form 4461-A, Application for Approval of Master or Prototye Defined Benefit Plan; Form 4461-B, Application for Approval of Master or... . SUPPLEMENTARY INFORMATION: Title: Form 4461, Application for Approval of Master or Prototype...

  15. 76 FR 49539 - Proposed Collection; Comment Request for Forms 3921 and 3922

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ... Stock Option Under Section 422(b), and Form 3922, Transfer of Stock Acquired Through an Employee Stock... INFORMATION: Title: Form 3921, Exercise of an Incentive Stock Option Under Section 422(b). Form 3922, Transfer... employee where the stock was acquired pursuant to the exercise of an option described in section...

  16. 77 FR 35407 - Proposed Collection; Comment Request: Clinical Mythteries: A Video Game About Clinical Trials

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-13

    ...: A Video Game About Clinical Trials SUMMARY: In compliance with the requirement of Section 3506(c)(2... Collection: Title: Clinical Mythteries: A Video Game About Clinical Trials. Type of Information Collection... video game'' for adolescents about clinical studies which: (1) Incorporates core learning...

  17. Distributed cognition artifacts on clinical research data collection forms.

    PubMed

    Nahm, Meredith; Nguyen, Vickie D; Razzouk, Elie; Zhu, Min; Zhang, Jiajie

    2010-03-01

    Medical record abstraction, a primary mode of data collection in secondary data use, is associated with high error rates. Cognitive factors have not been studied as a possible explanation for medical record abstraction errors. We employed the theory of distributed representation and representational analysis to systematically evaluate cognitive demands in medical record abstraction and the extent of external cognitive support employed in a sample of clinical research data collection forms.We show that the cognitive load required for abstraction in 61% of the sampled data elements was high, exceedingly so in 9%. Further, the data collection forms did not support external cognition for the most complex data elements. High working memory demands are a possible explanation for the association of data errors with data elements requiring abstractor interpretation, comparison, mapping or calculation. The representational analysis used here can be used to identify data elements with high cognitive demands.

  18. 77 FR 16589 - Proposed Collection; Comment Request for Form 4876-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-21

    ... as an Interest Charge DISC. DATES: Written comments should be received on or before May 21, 2012 to...: Election To Be Treated as an Interest Charge DISC. OMB Number: 1545-0190. Form Number: 4876-A. Abstract: A... corporation (IC- DISC). Form 4876-A is used to make the election. The IRS uses the information to determine if...

  19. 78 FR 33893 - Proposed Collection; Comment Request for Form 5306-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-05

    ... to R. Joseph Durbala, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington... Number: 1545-0199. Form Number: 5306-A. Abstract: This form is used by banks, credit unions, insurance... provide information. Approved: May 29, 2013. R. Joseph Durbala, IRS Supervisory Tax Analyst. [FR Doc....

  20. 75 FR 8413 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-24

    ..., Application for Spouse Annuity Under the Railroad Retirement Act, consisting of RRB Form(s) AA-3, Application for Spouse/Divorced Spouse Annuity and AA-3cert, Application Summary and Certification. Our ICR... prescribed in 20 CFR 216, 218, 219, 232, 234, and 295. The RRB currently uses the electronic AA-3cert...

  1. 76 FR 52638 - Proposed Information Collection; Comment Request; Shipboard Observation Form for Floating Marine...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ... Observation Form for Floating Marine Debris AGENCY: National Oceanic and Atmospheric Administration (NOAA... organizations (respondents) as well as numerous experts on marine debris observations at sea. The Shipboard Observation Form for Floating Marine Debris was created based on methods used in studies of floating marine...

  2. 78 FR 57219 - Proposed Collection; Comment Request for Form W-2G

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-17

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form W-2G, Certain Gambling Winnings...@irs.gov . SUPPLEMENTARY INFORMATION: Title: Certain Gambling Winnings. OMB Number: 1545-0238. Form... certain gambling winnings to withhold tax and to report the winnings to the IRS. IRS uses the information...

  3. 76 FR 24854 - Proposed Information Collection; Comment Request; Additional Protocol Report Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-03

    ... of the U.S. commercial nuclear fuel cycle, including: Mining and milling of nuclear materials... locations where these activities occur in order to verify the data on the form. II. Method of Collection Submitted electronically or paper format. III. Data OMB Control Number: 0694-0135. Form Number(s): AP-A,...

  4. 75 FR 5863 - Proposed Collection; Comment Request for Forms 8453-C and 8453-I

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... Tax Declaration for an IRS e-file Return and Form 8453-I, Foreign Corporation Income Tax Declaration.... Corporation Income Tax Declaration for an IRS e-file Return. OMB Number: 1545-1866. Form Number: 8453-C... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506...

  5. 75 FR 10017 - Proposed Collection; Comment Request for Form SS-8

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-04

    ... Status for Purpose of Federal Employment Taxes and Income Tax Withholding. DATES: Written comments should... Employment Taxes and Income Tax Withholding. OMB Number: 1545-0004. Form Number: SS-8. Abstract: Form SS-8 is... whether a worker is an employee for purposes of Federal ] employment taxes and income tax withholding....

  6. 78 FR 23981 - Proposed Collection; Comment Request for Form SS-8

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-23

    ... Status for Purpose of Federal Employment Taxes and Income Tax Withholding. DATES: Written comments should... Employment Taxes and Income Tax Withholding. OMB Number: 1545-0004. Form Number: SS-8. Abstract: Form SS-8 is... whether a worker is an employee for purposes of Federal employment taxes and income tax withholding....

  7. 76 FR 53168 - Proposed Collection; Comment Request for Form 1120-H

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-25

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1120-H, U.S. Income Tax Return... . SUPPLEMENTARY INFORMATION: Title: U.S. Income Tax Return for Homeowners Associations. OMB Number: 1545-0127..., and credits. The form is also used to report the income tax liability of the homeowners...

  8. 76 FR 27090 - Comment Request for Extension of Information Collection (Without Revisions): Form ETA 9033-A...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-10

    ... Revisions): Form ETA 9033-A, Attestation by Employers Using Alien Crewmembers for Longshore Activities in... collection by Form ETA 9033-A, OMB Control Number 1205-0352, Attestation by Employers Using Alien Crewmembers.... The INA generally prohibits the performance of longshore work by alien crewmembers, however the...

  9. 75 FR 35843 - Proposed Extension of Information Collection Request Submitted for Public Comment; Form 5500...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-23

    ... collection provisions of Form 5500, Annual Return/Report of Employee Benefit Plan. A copy of the information...: Annual Information Return/Report. Type of Review: Extension of a currently approved collection of... Comment; Form 5500, Annual Return/Report of Employee Benefit Plan AGENCY: Employee Benefits...

  10. 78 FR 9049 - Agency Information Collection Activities: Proposed Collection Renewal; Comment Request Re Forms...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-07

    ... Relating to Processing Deposit Insurance Claims AGENCY: Federal Deposit Insurance Corporation (FDIC... Processing Deposit Insurance Claims'' (OMB No. 3064-0143). DATES: Comments must be submitted on or before... Deposit Insurance Claims. Forms Currently In Use: Declaration for Public Unit Deposit, Form 7200/04...

  11. 76 FR 51128 - Proposed Collection; Comment Request for Form 1099-LTC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-17

    ... Accelerated Death Benefits. DATES: Written comments should be received on or before October 17, 2011 to be...: Long-Term Care and Accelerated Death Benefits. OMB Number: 1545-1519. Form Number: 1099-LTC. Abstract: File Form 1099-LTC, Long-Term Care and Accelerated Death Benefits, if you pay any long-term care...

  12. 78 FR 67397 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Short-Form...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-12

    ... (Foreign Agents) ACTION: 60-Day Notice. The Department of Justice (DOJ), National Security Division (NSD...-form Registration Statement (Foreign Agents) (3) Agency form number, if any, and the applicable... to register foreign agents as required by the provisions of the Foreign Agents Registration Act of...

  13. 77 FR 64378 - Proposed Collection; Comment Request for Form 3520-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... income and deductions of the foreign trust and provide statements to the U.S. owners and beneficiaries. IRS uses Form 3520-A to determine if the U.S. owner of the trust has included the net income of the trust in its gross income. Current Actions: There are no changes being made to the form at this time...

  14. 75 FR 3905 - Proposed Collection; Comment Request for an Unmodified OGE Form 450 Executive Branch Confidential...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-25

    ..., DC 20005-3917, Attention: Paul D. Ledvina, Records Officer. FOR FURTHER INFORMATION CONTACT: Mr. Ledvina at the Office of Government Ethics; telephone: 202-482-9247; TTY: 800-877-8339; FAX: 202-482-9237; E-mail: paul.ledvina@oge.gov . An electronic copy of the OGE Form 450 is available in the Forms...

  15. 77 FR 57197 - Proposed Collection; Comment Request for Form 1099-CAP

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ...: Changes in Corporate Control and Capital Structure. OMB Number: 1545-1814. Form Number: 1099-CAP. Abstract...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1099-CAP, Changes in Corporate Control and Capital Structure. DATES: Written comments should be received on or before November 16, 2012...

  16. Software solutions alone cannot guarantee useful radiology requests.

    PubMed

    Van Borsel, Mathias D; Devolder, Pieter Jd; Bosmans, Jan Ml

    2016-11-01

    Background The availability of clinical information and a pertinent clinical question can improve the diagnostic accuracy of the imaging process. Purpose To examine if an electronic request form forcing referring clinicians to provide separate input of both clinical information and a clinical question can improve the quality of the request. Material and Methods A total of 607 request forms in the clinical worklists for a computed tomography (CT) scan of the thorax, the abdomen or their combination, were examined. Using software of our own making, we examined the presence of clinical information and a clinical question before and after the introduction of a new, more compelling order method. We scored and compared the quality of the clinical information and the clinical question between the two systems and we examined the effect on productivity. Results Both clinical information and a clinical question were present in 76.7% of cases under the old system and in 95.3% under the new system ( P < 0.001). Individual characteristics of the clinical information and the clinical question however, with the exception of incompleteness, showed little improvement under the new system. There was also no significant difference between the two systems in the number of requests requiring further search. Conclusion The introduction of electronic radiology request forms compelling referring clinicians to provide separate input of clinical information and a clinical question provides only limited benefit to the quality of the request. Raising awareness among clinicians of the importance of a well-written request remains essential.

  17. 77 FR 74743 - Proposed Collection; Comment Request for Form 706-D

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-17

    ... the collection of information displays a valid OMB control number. Books or records relating to a... collection techniques or other forms of information technology; and (e) estimates of capital or...

  18. 78 FR 36638 - Proposed Collection; Comment Request for Form 8916-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-18

    ... information displays a valid OMB control number. Books or records relating to a collection of information must... forms of information technology; and (e) estimates of capital or start-up costs and costs of operation...

  19. 78 FR 48772 - Proposed Collection; Comment Request for Form 8874-B

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-09

    ... information displays a valid OMB control number. Books or records relating to a collection of information must... forms of information technology; and (e) estimates of capital or start-up costs and costs of operation...

  20. 78 FR 31632 - Proposed Collection; Comment Request for Form 1099-INT

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-24

    ... collection of information displays a valid OMB control number. Books or records relating to a collection of... techniques or other forms of information technology; and (e) estimates of capital or start-up costs and costs...

  1. 78 FR 8226 - Proposed Collection; Comment Request for Form 1099-OID

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-05

    ... capital or start-up costs and costs of operation, maintenance, and purchase of services to provide...: There are no changes being made to the form at this time. Type of Review: Extension of a currently...

  2. 78 FR 8225 - Proposed Collection; Comment Request for Form 1099-H

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-05

    ... capital or start-up costs and costs of operation, maintenance, and purchase of services to provide... Actions: There are no changes being made to the form at this time. Type of Review: Extension of a...

  3. 77 FR 36608 - Proposed Collection; Comment Request for Form 56-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-19

    ... Fiduciary Relationship--Illinois Type Land Trust. DATES: Written comments should be received on or before... . SUPPLEMENTARY INFORMATION: Title: Form 56-A, Notice Concerning Fiduciary Relationship-- Illinois Type Land Trust...

  4. 75 FR 2929 - Proposed Collection; Comment Request for Form 13614-NR

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-19

    ... Intake and Interview Sheet. DATES: Written comments should be received on or before March 22, 2010 to be...: Nonresident Alien Intake and Interview Sheet. OMB Number: 1545-2075. Form Number: 13614-NR. Abstract:...

  5. 77 FR 44696 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-30

    ... collections on respondents, including the use of automated collection techniques or other forms of information... representative status and the periodic reporting of the compensation resulting from such status is contained...

  6. 77 FR 58186 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... collections on respondents, including the use of automated collection techniques or other forms of information... representative status and the periodic reporting of the compensation resulting from such status is contained...

  7. 75 FR 38177 - Proposed Collection; Comment Request for Form 8453-B

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-01

    ... electronic Form 1065-B, U.S. Return of Income for Electing Large Partnerships, to authorize the ERO, if any...) to transmit via a third-party transmitter if you are filing online (not using an ERO). Current...

  8. 78 FR 47053 - Proposed Collection; Comment Request for Form 8453-B

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-02

    ... Form 1065-B, U.S. Return of Income for Electing Large Partnerships, to authorize the ERO, if any, to... transmit via a third-party transmitter if you are filing online (not using an ERO). Current Actions: There...

  9. 75 FR 61763 - Submission of OMB Review; Comment Request; Drug Accountability Record (Form NIH 2564) (NCI)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ... (NCI), as a sponsor of investigational drug trials, has the responsibility to assure the FDA that investigators in its clinical trials program are maintaining systems for drug accountability. In order to... compliance for patient safety and protections. Frequency of Response: Approximately 16 times per year...

  10. 76 FR 36618 - Proposed Collection; Comment Request for Form W-2G

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-22

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form W-2G, Certain Gambling Winnings... through the Internet, at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title: Certain Gambling..., 3402(q), and 3406 require payers of certain gambling winnings to withhold tax and to report the...

  11. 77 FR 75112 - Agency Information Collection Activities: Existing Collection; Comment Request-Forms FNS-806-A...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-19

    ...), and FNS-806-B, Claim for Reimbursement (Special Milk Program for Children) AGENCY: Food and Nutrition... Special Milk Program. DATES: Written comments must be received on or before February 19, 2013. ADDRESSES... Lunch Program, Part 220 School Breakfast Program, and Part 215 Special Milk Program. Form Number:...

  12. 75 FR 70971 - Proposed Collection; Comment Request for Form W-12

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-19

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF THE TREASURY...)). Currently, the IRS is soliciting comments concerning Form W-12 IRS Paid Preparer Tax Identification Number... 20224, or through the Internet at Joel.P.Goldberger@irs.gov . SUPPLEMENTARY INFORMATION: Title: IRS...

  13. 76 FR 41763 - Proposed Information Collection; Comment Request; Alaska Region Logbook Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-15

    ... submittal include Internet and facsimile transmission of paper forms. III. Data OMB Control Number: 0648... (DCPL) or electronic logbook (ELB); 30 minutes for Catcher/processor trawl gear DCPL or ELB; 41 minutes for Catcher/processor longline and pot gear DCPL; 18 minutes for Catcher Vessel trawl gear...

  14. 78 FR 37277 - Proposed Collection: Comment Request for Form 1099-S

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-20

    ... Revenue Code section 6045(e) and the regulations there under require persons treated as real estate... number. Books or records relating to a collection of information must be retained as long as their... through the use of automated collection techniques or other forms of information technology; and (e...

  15. 75 FR 32360 - Proposed Information Collection; Comment Request; Alaska Crab Report Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-08

    ... Crab Report Forms AGENCY: National Oceanic and Atmospheric Administration (NOAA), Department of.... 1801 et seq.) The FMP for Bering Sea and Aleutian Islands (BSAI) Crab includes the Crab Rationalization (CR) Program, a limited access system that allocates BSAI Management Area Crab resources among...

  16. 75 FR 67164 - Proposed Collection; Comment Request for Form 8886-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-01

    ...-Exempt Entity Regarding Prohibited Tax Shelter Transaction. DATES: Written comments should be received on... . SUPPLEMENTARY INFORMATION: Title: Disclosure by Tax-Exempt Entity Regarding Prohibited Tax Shelter Transaction... file Form 8886-T to disclose information for each prohibited tax shelter transaction to which...

  17. 75 FR 38181 - Proposed Collection; Comment Request for Form 1099-S

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-01

    ...: Proceeds From Real Estate Transactions. OMB Number: 1545-0997. Form Number: 1099-S. Abstract: Internal Revenue Code section 6045(e) and the regulations there under require persons treated as real estate brokers to submit an information return to the IRS to report the gross proceeds from real...

  18. 76 FR 59113 - Proposed Information Collection; Comment Request; Pacific Islands Logbook Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-23

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE... Islands Logbook Family of Forms AGENCY: National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice. SUMMARY: The Department of Commerce, as part of its continuing effort to reduce paperwork...

  19. 75 FR 35003 - Commission Information Collection Activities (FERC Form No. 580); Request; Submitted for OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-21

    ... was not entered into the preferred Excel format properly. Some filers did not even use the form and... new Adobe PDF platform is not compatable with the previously preferred Excel platform therefore the...)...... 40 0.5 2 40 Sub Total 3600 One-time burden of learning new software 45 .5 20 450 Total 4150 The total...

  20. 76 FR 49836 - Proposed Collection; Comment Request for Form 8621-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-11

    ...: (i) The election is being made before an IRS agent has raised on audit the PFIC status of the foreign... as a balance due on Form 8621-A an amount reflecting tax plus interest as determined under Reg. 1... contents may become material in the administration of any internal revenue law. Generally, tax returns...

  1. 76 FR 52026 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-19

    ... Management and Budget (OMB). Our ICR describes the information we seek to collect from the public. Review and... date. 1. Title and Purpose of information collection: Application for Reimbursement for Hospital... hospital services received in Canada. The form obtains information needed to determine the eligibility of...

  2. 75 FR 58443 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Form 5500...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-24

    ... Employee Benefits Security Administration (EBSA) titled, ``Annual Information Return/Report of Employee..._PRA_PUBLIC@dol.gov . SUPPLEMENTARY INFORMATION: The ``Annual Return/Report of Employee Benefit Plan...; Form 5500, Annual Return/Report of Employee Benefit Plan ACTION: Notice. SUMMARY: The Department...

  3. 76 FR 18301 - Proposed Collection; Comment Request for HCTC Program Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-01

    ... public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 13865, Health Coverage...

  4. 78 FR 40829 - Proposed Collection; Comment Request for Form 720-CS

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ... information or copies of the form and instructions should be directed to Allan Hopkins at (202) 622-6665, or... through the Internet at Allan.M.Hopkins@irs.gov . SUPPLEMENTARY INFORMATION: Title: Carrier Summary Report..., maintenance, and purchase of services to provide information. Approved: June 17, 2013. Allan Hopkins,...

  5. 76 FR 30431 - Proposed Collection; Comment Request for Form CT-1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-25

    ... Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form CT-1, Employer's Annual Railroad Retirement Tax Return. DATES: Written comments... Internet at Elaine.H.Christophe@irs.gov . SUPPLEMENTARY INFORMATION: Title: Employer's Annual Railroad...

  6. 76 FR 40775 - Proposed Collection; Comment Request for Form 8858 and Sch. M

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-11

    .... Persons With Respect to Foreign Disregarded Entities, and Schedule M, Transaction Between Foreign Disregarded Entity of a Foreign Tax Owner and the Filer on Other Related Entities. DATES: Written comments... Respect To Foreign Disregarded Entities (Form 8858), and Transaction Between Foreign Disregarded Entity of...

  7. 77 FR 64188 - Proposed Collection; Comment Request for Forms 8288 and 8288-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ... Treasury, as part of its continuing effort to reduce paperwork and respondent burden, invites the general... Return for Dispositions by Foreign Persons of U.S. Real Property Interests, and Form 8288-A, Statement of Withholding on Dispositions by Foreign Persons of U.S. Real Property Interests. DATES: Written comments...

  8. 77 FR 42000 - Notice of Request for Renewal of Information Collection for Donor Certification Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-17

    ... Form AGENCY: Office of Youth, Partnerships and Service, Assistant Secretary--Policy, Management and...)(2)(A) of the Paperwork Reduction Act of 1995, the Office of Youth, Partnerships and Service... Youth, Partnerships and Service, U.S. Department of the Interior, MS 3530-MIB, 1849 C Street NW...

  9. 77 FR 77067 - Commission Information Collection Activities (FERC Form No. 556); Comment Request; Extension

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-31

    ... facility > 1 MW. FERC certification. cogeneration and small power self- 192 2 3 1152 production facility... Facility'' (Form No. 556). DATES: Comments on the collection of information are due March 1, 2013... Public Utility Regulatory Policies Act of 1978 (PURPA).\\1\\ FERC is authorized to encourage cogeneration...

  10. 76 FR 11566 - Proposed Collection; Comment Request for Form 1065-B and Schedules

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-02

    ... of Income for Electing Large Partnerships, and Schedule K-1, Partner's Share of Income (Loss) From an Electing Large Partnership. DATES: Written comments should be received on or before May 2, 2011 to be....S. Return of Income for Electing Large Partnerships (Form 1065-B), and Schedules. OMB Number:...

  11. 78 FR 61448 - Proposed Collection; Comment Request for Forms 1120-L and SCHM-3

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-03

    ... comments concerning Form 1120-L, U.S. Life Insurance Company Income Tax Return, and 1120-L SCH M-3, Net....Dennis@irs.gov . SUPPLEMENTARY INFORMATION: Title: U.S. Life Insurance Company Income Tax Return and Net... income (loss) for the corporation (or consolidated financial statement group, if applicable), to net...

  12. 75 FR 49025 - Proposed Collection; Comment Request for Form 1120-L

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-12

    ... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506... Company Income Tax Return. DATES: Written comments should be received on or before October 12, 2010 to be...: Title: U.S. Life Insurance Company Income Tax Return. OMB Number: 1545-0128. Form Number:...

  13. 78 FR 9432 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-08

    ... consideration of your comments, it is best if the RRB and OIRA receive them within 30 days of the publication... information is used by the RRB to determine the effect of a disability on an applicant's ability to work. Form... order to determine the effect of a disability on an annuitant's ability to work, the RRB needs...

  14. 77 FR 64187 - Proposed Collection; Comment Request for Form 637 Questionnaires

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ...(c)(2)(A)). Currently, the IRS is soliciting comments concerning Questionnaires A, B, C, D, E, F, H... Number: Questionnaires A, B, C, D, E, F, H, I, J, K, M, Q, R, S, T, UP, UV, V, W, X, and Y. Abstract... through the use of automated collection techniques or other forms of information technology; and (e...

  15. 75 FR 69716 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-15

    ...) Title: Self-Employment/Corporate Officer Work and Earnings Monitoring. OMB Control Number: 3220-XXXX... information collection, consisting of proposed RRB Form G-252, Self-Employment/Corporate Officer Work and... RRB or OIRA must contain the OMB control number of the ICR. For proper consideration of your comments...

  16. Validation and randomized control trial of the e-SAID, a computerized paediatric dental patient request form, to intervene in dental anxiety.

    PubMed

    Jones, L

    2015-07-01

    A rationale for, and pilot of a children's patient request form developed specifically for dental visits, has been previously reported. The SAID (survey of anxiety and information for dentists) is a questionnaire with three embedded subscales: dental anxiety, coping style and dental neglect. It includes children's requests for emotional support, information and treatment. The main, but not sole, response format is a facial image scale. A randomized control trial of a computer version is now reported. The aims were to validate items in the e-SAID, and to assess it as an intervention in dental anxiety. A total of 168 children aged 10-13, attending for routine dental checks in a community dental clinic, were randomly assigned to intervention (83) or control (85) groups. The intervention group completed the e-SAID, in which the first and last questions measured anxiety; and printed a summary of their responses for the dentist. Control group children completed the same anxiety questions, but with a time-lapse. Means and SD were summarized for the 11 items showing a generally positive skew on the seven point scale. After removing the two-item dental neglect subscale, the anxiety and coping subscales were shown to be relatively independent (r = 0.14) and factorially pure. The intervention group mean anxiety score decreased following completion of the e-SAID, while the control group mean anxiety score increased with a small significant interaction effect; however, much of the change occurred in the positive-affect end of the scale. Two problems are discussed: defining anxiety as a bipolar score; and some children being so keen to be assigned to the intervention group that they circumvented the computer allocation process. Children wanted to actively engage in discussion of their dental treatment. The e-SAID was an effective tool for that, regardless of initial low anxiety levels. © 2014 John Wiley & Sons Ltd.

  17. 77 FR 5858 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-06

    ... right is prescribed in 20 CFR 260 and 20 CFR 320. The notification letter, which is sent at the time of... Appeals. The appeal process is prescribed in 20 CFR 260.5 and 260.9 and 20 CFR 320.12 and 320.38. The form... marriage are prescribed in 20 CFR 219.30. In the absence of documentary evidence, the RRB needs to...

  18. 77 FR 31027 - Submission for OMB Review; Comment Request; Web-Based Assessment of the Clinical Studies Support...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-24

    ... Submission for OMB Review; Comment Request; Web-Based Assessment of the Clinical Studies Support Center (CSSC..., unless it displays a current valid OMB control number. Proposed Collection: Title: Web-Based Assessment...-person meetings, Web conferences, and teleconferences; managing distribution of adverse event...

  19. Functional forms for photon spectra of clinical linacs

    NASA Astrophysics Data System (ADS)

    Ali, E. S. M.; Rogers, D. W. O.

    2012-01-01

    Specifying photon spectra of clinical linacs using a functional form is useful for many applications, including virtual source modelling and spectral unfolding from dosimetric measurements such as transmission data or depth-dose curves. In this study, 11 functional forms from the literature are compiled and quantitatively compared. A new function is proposed which offers improvements over existing ones. The proposed function is simple, physics-based and has four free parameters, one of which is the mean incident electron kinetic energy. A comprehensive benchmark set of validated, high-precision Monte Carlo spectra is generated and used to evaluate the strengths and limitations of different functions. The benchmark set has 65 spectra (3.5-30 MV) from Varian, Elekta, Siemens, Tomotherapy, Cyberknife and research linacs. The set includes spectra on- and off-axis from linacs with and without a flattening filter, and in treatment and imaging modes. The proposed function gives the lowest spectral deviations among all functions. It reproduces the energy fluence values in each bin for the benchmark set with a normalized root-mean-square deviation of 1.7%. The mean incident electron kinetic energy, maximum photon energy, most-probable energy and average energy are reproduced, on average, within 1.4%, 4.3%, 3.9% and 0.6% of their true values, respectively. The proposed function is well behaved when used for spectral unfolding from dosimetric data. The contribution of the 511 keV annihilation peak and the energy spread of the incident electron beam can be added as additional free parameters.

  20. 15 CFR Supplement No. 1 to Part 752 - Instructions for Completing Form BIS-748P, Multipurpose Application for Requests for Special...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...-748P, Multipurpose Application for Requests for Special Comprehensive Licenses No. Supplement No. 1 to... COMPREHENSIVE LICENSE Pt. 752, Supp. 1 Supplement No. 1 to Part 752—Instructions for Completing Form BIS-748P... instructions in Supplement No. 1 to part 748 of the EAR. Block 5: Type of Application. Enter an “x” in the...

  1. 15 CFR Supplement No. 1 to Part 752 - Instructions for Completing Form BIS-748P, Multipurpose Application for Requests for Special...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...-748P, Multipurpose Application for Requests for Special Comprehensive Licenses No. Supplement No. 1 to... COMPREHENSIVE LICENSE Pt. 752, Supp. 1 Supplement No. 1 to Part 752—Instructions for Completing Form BIS-748P... instructions in Supplement No. 1 to part 748 of the EAR. Block 5: Type of Application. Enter an “x” in the...

  2. 15 CFR Supplement No. 1 to Part 752 - Instructions for Completing Form BIS-748P, Multipurpose Application for Requests for Special...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...-748P, Multipurpose Application for Requests for Special Comprehensive Licenses No. Supplement No. 1 to... COMPREHENSIVE LICENSE Pt. 752, Supp. 1 Supplement No. 1 to Part 752—Instructions for Completing Form BIS-748P... instructions in Supplement No. 1 to part 748 of the EAR. Block 5: Type of Application. Enter an “x” in the...

  3. 15 CFR Supplement No. 1 to Part 752 - Instructions for Completing Form BIS-748P, Multipurpose Application for Requests for Special...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...-748P, Multipurpose Application for Requests for Special Comprehensive Licenses No. Supplement No. 1 to... COMPREHENSIVE LICENSE Pt. 752, Supp. 1 Supplement No. 1 to Part 752—Instructions for Completing Form BIS-748P... instructions in supplement No. 1 to part 748 of the EAR. Block 5: Type of Application. Enter an “x” in the...

  4. 15 CFR Supplement No. 1 to Part 752 - Instructions for Completing Form BIS-748P, Multipurpose Application for Requests for Special...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...-748P, Multipurpose Application for Requests for Special Comprehensive Licenses No. Supplement No. 1 to... COMPREHENSIVE LICENSE Pt. 752, Supp. 1 Supplement No. 1 to Part 752—Instructions for Completing Form BIS-748P... instructions in Supplement No. 1 to part 748 of the EAR. Block 5: Type of Application. Enter an “x” in the...

  5. 23 CFR Appendix A to Part 260 - Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422)

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 23 Highways 1 2012-04-01 2012-04-01 false Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422) A Appendix A to Part 260 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL HIGHWAY INSTITUTE EDUCATION AND TRAINING PROGRAMS Pt. 260, App. A...

  6. 23 CFR Appendix A to Part 260 - Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422)

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 23 Highways 1 2014-04-01 2014-04-01 false Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422) A Appendix A to Part 260 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL HIGHWAY INSTITUTE EDUCATION AND TRAINING PROGRAMS Pt. 260, App. A...

  7. 23 CFR Appendix A to Part 260 - Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422)

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422) A Appendix A to Part 260 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL HIGHWAY INSTITUTE EDUCATION AND TRAINING PROGRAMS Pt. 260, App. A...

  8. 23 CFR Appendix A to Part 260 - Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422)

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 23 Highways 1 2011-04-01 2011-04-01 false Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422) A Appendix A to Part 260 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL HIGHWAY INSTITUTE EDUCATION AND TRAINING PROGRAMS Pt. 260, App. A...

  9. 23 CFR Appendix A to Part 260 - Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422)

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 23 Highways 1 2013-04-01 2013-04-01 false Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422) A Appendix A to Part 260 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL HIGHWAY INSTITUTE EDUCATION AND TRAINING PROGRAMS Pt. 260, App. A...

  10. Methodology Series Module 8: Designing Questionnaires and Clinical Record Forms.

    PubMed

    Setia, Maninder Singh

    2017-01-01

    As researchers, we often collect data on a clinical record form or a questionnaire. It is an important part of study design. If the questionnaire is not well designed, the data collected will not be useful. In this section of the module, we have discussed some practical aspects of designing a questionnaire. It is useful to make a list of all the variables that will be assessed in the study before preparing the questionnaire. The researcher should review all the existing questionnaires. It may be efficient to use an existing standardized questionnaire or scale. Many of these scales are freely available and may be used with an appropriate reference. However, some may be under copyright protection and permissions may be required to use the same questionnaire. While designing their own questionnaire, researchers may use open- or close-ended questions. It is important to design the responses appropriately as the format of responses will influence the analysis. Sometimes, one can collect the same information in multiple ways - continuous or categorical response. Besides these, the researcher can also use visual analog scales or Likert's scale in the questionnaire. Some practical take-home points are: (1) Use specific language while framing the questions; (2) write detailed instructions in the questionnaire; (3) use mutually exclusive response categories; (4) use skip patterns; (5) avoid double-barreled questions; and (6) anchor the time period if required.

  11. Methodology Series Module 8: Designing Questionnaires and Clinical Record Forms

    PubMed Central

    Setia, Maninder Singh

    2017-01-01

    As researchers, we often collect data on a clinical record form or a questionnaire. It is an important part of study design. If the questionnaire is not well designed, the data collected will not be useful. In this section of the module, we have discussed some practical aspects of designing a questionnaire. It is useful to make a list of all the variables that will be assessed in the study before preparing the questionnaire. The researcher should review all the existing questionnaires. It may be efficient to use an existing standardized questionnaire or scale. Many of these scales are freely available and may be used with an appropriate reference. However, some may be under copyright protection and permissions may be required to use the same questionnaire. While designing their own questionnaire, researchers may use open- or close-ended questions. It is important to design the responses appropriately as the format of responses will influence the analysis. Sometimes, one can collect the same information in multiple ways - continuous or categorical response. Besides these, the researcher can also use visual analog scales or Likert's scale in the questionnaire. Some practical take-home points are: (1) Use specific language while framing the questions; (2) write detailed instructions in the questionnaire; (3) use mutually exclusive response categories; (4) use skip patterns; (5) avoid double-barreled questions; and (6) anchor the time period if required. PMID:28400630

  12. Provider-to-provider communication in dermatology and implications of missing clinical information in skin biopsy requisition forms: a systematic review.

    PubMed

    Comfere, Nneka I; Sokumbi, Olayemi; Montori, Victor M; LeBlanc, Annie; Prokop, Larry J; Murad, M Hassan; Tilburt, Jon C

    2014-05-01

    Various components of the skin biopsy requisition form (SBRF) may contribute to accurate dermatopathologic interpretation. A search of electronic databases, including those of Ovid MEDLINE In-Process & Other Non-Indexed Citations, Ovid MEDLINE, Ovid EMBASE, the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, and Scopus, was conducted from inception to October 2011. Two authors independently screened all articles for eligibility. Inclusion criteria required material to represent original studies on skin biopsy and pathology requisition forms. Data abstracted from each article that met the inclusion criteria included details of the study characteristics, including the study location, type of pathology practice, specimen type, type of dermatoses, medical specialty of the requesting provider, suggested clinical components, and format of the SBRF. Of 32 titles and abstracts reviewed, seven articles were included. From these, we determined that dermatologists, general practitioners and surgeons completed SBRFs. Commonly included components were patient demographics and requesting clinician characteristics. Clinical information and differential diagnosis were provided in 4% (two of 48 surgeons) to 36% (18 of 50 dermatologists) of requisitions. Most SBRFs did not include information on specimen type, clinical morphology, photographs or clinical history. The limited medical literature demonstrates variation in the content of SBRFs across clinicians and practices, and suggests an important target for improvement in the quality of communication and dermatologic care by requesting clinicians and pathologists. © 2013 The International Society of Dermatology.

  13. 75 FR 55586 - Submission for OMB Review; Comment Request Cancer Trials Support Unit (CTSU) Public Use Forms and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-13

    ... Support Unit (CTSU) Public Use Forms and Customer Satisfaction Surveys (NCI) SUMMARY: Under the provisions... of customer satisfaction for clinical site staff using the CTSU Help Desk and the CTSU Web site. An ongoing user satisfaction survey is in place for the Oncology Patient Enrollment Network (OPEN)....

  14. 75 FR 66767 - Submission for OMB Review; Comment Request; Cancer Trials Support Unit (CTSU) Public Use Forms...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-29

    ... Support Unit (CTSU) Public Use Forms and Customer Satisfaction Surveys (NCI) SUMMARY: Under the provisions... of customer satisfaction for clinical site staff using the CTSU Help Desk and the CTSU Web site. An ongoing user satisfaction survey is in place for the Oncology Patient Enrollment Network (OPEN)....

  15. Health education and clinical care of immigrant women with female genital mutilation/cutting who request postpartum reinfibulation.

    PubMed

    Abdulcadir, Jasmine; McLaren, Sophie; Boulvain, Michel; Irion, Olivier

    2016-10-01

    To evaluate the percentage of women with female genital mutilation/cutting who request postpartum reinfibulation, and to assess outcomes after specific care and counseling. A retrospective review was undertaken of consecutive medical files of immigrant women with FGM/C who attended a center in Geneva, Switzerland, between April 1, 2010, and January 8, 2014. The number of postpartum reinfibulation requests and outcomes were assessed. If a patient requests postpartum reinfibulation despite receiving detailed information and counseling, a longer follow-up is arranged for further counseling. Among 196 women with FGM/C, 8 (4.1%) requested postpartum reinfibulation. All eight were of East African origin, had FGM/C type III, and received a longer and more targeted follow-up than did those who did not request reinfibulation. After at least 1year of follow-up, none of the eight was willing to undergo reinfibulation. One woman who attended the clinic only once during her first pregnancy consulted the emergency ward of the study center 3years later because of postcoital bleeding following infibulation performed in her home country a few months after her second delivery in Switzerland. Specific care and counseling for women with FGM/C type III can improve the acceptability of defibulation without reinfibulation. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  16. 37 CFR 1.434 - The request.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Application § 1.434 The request. (a) The request shall be made on a standardized form (PCT Rules 3 and 4). Copies of printed Request forms are available from the United States Patent and Trademark Office. Letters requesting printed forms should be marked “Mail Stop PCT.” (b) The Check List portion of the Request form...

  17. Clinical development of two innovative pharmaceutical forms of leuprorelin acetate

    PubMed Central

    Geiges, Goetz; Schapperer, Elisabeth; Thyroff-Friesinger, Ursula; Engert, Zoltán Vendel

    2013-01-01

    Objectives: Two innovative pharmaceutical forms of leuprorelin acetate have been developed as 1-month and 3-month implants for the treatment of advanced hormone-dependent prostate cancer. These products contain active substance dispersed homogeneously in a biodegradable polymer. Here we present the key results from the clinical development of these slow-release implant formulations of leuprorelin. Methods: Two therapeutic studies of the 1-month implant were performed: a randomized, controlled study comparing the leuprorelin implant with leuprorelin prolonged-release microspheres (Enantone) as the active control; and a single-arm study of the leuprorelin implant. For the 3-month implant, four therapeutic studies were performed: a randomized, controlled study comparing the leuprorelin implant with leuprorelin prolonged-release microspheres (Trenantone) as the active control; a single-arm study of the leuprorelin implant; and two long-term studies with the 3-month implant administered twice, either 12 or 16 weeks apart. A pooled analysis of data from the comparator-controlled and single-arm studies of the 3-month implant was also conducted. The main inclusion criterion for all studies was histologically confirmed advanced prostate cancer, with primary endpoints based around successful testosterone suppression (≤0.5 ng/ml). Results: In the comparator-controlled studies, both implants were as effective as the microspheres for achieving successful testosterone suppression and normalization of prostate-specific antigen (PSA) levels. Data from the single-arm and long-term studies were consistent with those from the comparator-controlled studies. In the pooled analysis, significantly more patients treated with the 3-month implant achieved successful testosterone suppression compared with the comparator (p ≤ 0.01). The safety profile of the implants in the comparator-controlled studies was similar to that of the prolonged-release microsphere formulation, and consistent

  18. 34 CFR 222.15 - How are the filing deadlines affected by requests for other forms of relief?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... forgiveness of an overpayment under § 222.14 does not extend the time within which an applicant must file a... applicant must file a request for forgiveness under § 222.14. (Authority: 20 U.S.C. 7712) ...

  19. Impact of a computerized provider radiography order entry system without clinical decision support on emergency department medical imaging requests.

    PubMed

    Claret, Pierre-Géraud; Bobbia, Xavier; Macri, Francesco; Stowell, Andrew; Motté, Antony; Landais, Paul; Beregi, Jean-Paul; de La Coussaye, Jean-Emmanuel

    2016-06-01

    The adoption of computerized physician order entry is an important cornerstone of using health information technology (HIT) in health care. The transition from paper to computer forms presents a change in physicians' practices. The main objective of this study was to investigate the impact of implementing a computer-based order entry (CPOE) system without clinical decision support on the number of radiographs ordered for patients admitted in the emergency department. This single-center pre-/post-intervention study was conducted in January, 2013 (before CPOE period) and January, 2014 (after CPOE period) at the emergency department at Nîmes University Hospital. All patients admitted in the emergency department who had undergone medical imaging were included in the study. Emergency department admissions have increased since the implementation of CPOE (5388 in the period before CPOE implementation vs. 5808 patients after CPOE implementation, p=.008). In the period before CPOE implementation, 2345 patients (44%) had undergone medical imaging; in the period after CPOE implementation, 2306 patients (40%) had undergone medical imaging (p=.008). In the period before CPOE, 2916 medical imaging procedures were ordered; in the period after CPOE, 2876 medical imaging procedures were ordered (p=.006). In the period before CPOE, 1885 radiographs were ordered; in the period after CPOE, 1776 radiographs were ordered (p<.001). The time between emergency department admission and medical imaging did not vary between the two periods. Our results show a decrease in the number of radiograph requests after a CPOE system without clinical decision support was implemented in our emergency department. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  20. Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty.

    PubMed

    Ishii, Lisa E; Tollefson, Travis T; Basura, Gregory J; Rosenfeld, Richard M; Abramson, Peter J; Chaiet, Scott R; Davis, Kara S; Doghramji, Karl; Farrior, Edward H; Finestone, Sandra A; Ishman, Stacey L; Murphy, Robert X; Park, John G; Setzen, Michael; Strike, Deborah J; Walsh, Sandra A; Warner, Jeremy P; Nnacheta, Lorraine C

    2017-02-01

    variations, and clinical concerns associated with this surgical procedure; it is not intended to be a comprehensive reference for improving nasal form and function after rhinoplasty. Recommendations in this guideline concerning education and counseling to the patient are also intended to include the caregiver if the patient is <18 years of age. Action Statements The Guideline Development Group made the following recommendations: (1) Clinicians should ask all patients seeking rhinoplasty about their motivations for surgery and their expectations for outcomes, should provide feedback on whether those expectations are a realistic goal of surgery, and should document this discussion in the medical record. (2) Clinicians should assess rhinoplasty candidates for comorbid conditions that could modify or contraindicate surgery, including obstructive sleep apnea, body dysmorphic disorder, bleeding disorders, or chronic use of topical vasoconstrictive intranasal drugs. (3) The surgeon, or the surgeon's designee, should evaluate the rhinoplasty candidate for nasal airway obstruction during the preoperative assessment. (4) The surgeon, or the surgeon's designee, should educate rhinoplasty candidates regarding what to expect after surgery, how surgery might affect the ability to breathe through the nose, potential complications of surgery, and the possible need for future nasal surgery. (5) The clinician, or the clinician's designee, should counsel rhinoplasty candidates with documented obstructive sleep apnea about the impact of surgery on nasal airway obstruction and how obstructive sleep apnea might affect perioperative management. (6) The surgeon, or the surgeon's designee, should educate rhinoplasty patients before surgery about strategies to manage discomfort after surgery. (7) Clinicians should document patients' satisfaction with their nasal appearance and with their nasal function at a minimum of 12 months after rhinoplasty. The Guideline Development Group made recommendations

  1. The rationale and pilot study of a new paediatric dental patient request form to improve communication and outcomes of dental appointments.

    PubMed

    Jones, L M; Huggins, T J

    2013-11-01

    Children's unhappy visits to the dentist can negatively impact lifelong oral health. A possible intervention is to enhance empathy in the child patient-dental practitioner relationship through communication. The present paper presents a new instrument, the Survey of Anxiety and Information for Dentists (SAID), which targets children's dental anxiety, coping preferences and dental neglect, and offers children a change to request information and engage in treatment planning. Five children's focus groups pilot tested the content, wording and response format of a prototype patient request form, the SAID. Participants were 34 10- to 13-year-old children who individually completed the form then discussed it item by item in their small groups. Children had no difficulty completing most items. They identified ambiguities, and items that were meaningless to them, and proposed a new item asking the dentist about their job. Children were polarized over the response format, but they were emphatic about passing the form directly to the dentist, and not to a receptionist or assistant, stressing the importance of having a conversation with their dentist. Before the pilot, dentists had expressed concerns about the potential for words in the SAID-provoking negative feelings. Children, however, wanted and needed facts, so requested that dentists use plain language, not euphemisms, to describe problems and treatment options. We report their selected practical suggestions. SAID-informed negotiated care may promote more patient cooperation and satisfaction at appointments, and more attention to oral hygiene between appointments. © 2012 John Wiley & Sons Ltd.

  2. [Is progressive anarthria a clinical form of Pick complex?].

    PubMed

    Dobato, J L; Barón-Rubio, M; Valle de Juan, M C; Barriga, F J; Sánchez-Sánchez, C; Sánchez del Río, M; Pardo-Moreno, J; Pareja, J A; Vela, L

    Progressive anarthria is defined as a clinical entity with a degenerative origin consisting in progressive difficulty in articulating while grammatical, semantic and graphic aspects of language are preserved. It is included within the group of processes affecting restricted areas of the brain although its exact nosological location is not clear. We report two cases that progressed clinically towards frontotemporal dementia and corticobasal degeneration, respectively. Case 1: a male who, at the age of 72, began with speech difficulties while comprehension and reading/writing skills were preserved. Three years later he developed apathy, bulimia, sexual indiscretions and aggressiveness, with preservation of visual memory, visual-constructional capacity and elementary writing skills. Case 2: a male who, at the age of 70, began with speech disorders, which were associated two years later to generalised slowness with Hoehn and Yahr stage II akinetic-rigid symptoms; another two years later, he developed a dystonic attitude and melokinetic apraxia in the left upper limb. The two cases, which were initially compatible with progressive anarthria, progressed clinically towards frontotemporal dementia and corticobasal degeneration, which are entities that are included in 'Pick complex'. This is a concept that we believe to be useful from a clinical point of view, given the variability that exists in the histology of the entities that have been proposed as members of this syndrome group, together with the progression of the cases described in the literature and the ones we have reported in this work.

  3. NCI Requests Targets for Monoclonal Antibody Production and Characterization | Office of Cancer Clinical Proteomics Research

    Cancer.gov

    In an effort to provide well-characterized monoclonal antibodies to the scientific community, NCI's Antibody Characterization Program requests cancer-related protein targets for affinity production and distribution. Submissions will be accepted through July 9, 2012.

  4. NCI Requests Cancer Targets for Monoclonal Antibody Production and Characterization | Office of Cancer Clinical Proteomics Research

    Cancer.gov

    In an effort to provide well-characterized monoclonal antibodies to the scientific community, NCI's Antibody Characterization Program requests cancer-related protein targets for affinity production and distribution. Submissions will be accepted through July 11, 2014.

  5. NCI Requests Targets for Monoclonal Antibody Production and Characterization - Office of Cancer Clinical Proteomics Research

    Cancer.gov

    In an effort to provide well-characterized monoclonal antibodies to the scientific community, NCI's Antibody Characterization Program requests cancer-related protein targets for affinity production and distribution.

  6. Clinical Utility of a WISC-R Short Form.

    ERIC Educational Resources Information Center

    Ryan, Joseph J.

    1981-01-01

    Examined the validity of a subtest combination as an estimate of the Wechsler Intelligence Scale For Children (Revised) Full Scale IQ. Satisfactory correlations were found between the short and full scale IQ. The short form did not allow precise IQ estimation but shows promise as a screening device. (Author)

  7. 77 FR 38582 - Proposed Information Collection; Comment Request; Domestic Client Life-Cycle Multi-Purpose Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE International Trade Administration Proposed Information Collection; Comment Request; Domestic Client Life-Cycle... services and trade events to U.S. organizations. The Domestic Client Life-cycle Multi-Purpose...

  8. 77 FR 73053 - Comment Request for Information Collection on Administrative Procedures Including Form MA 8-7...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-07

    ... February 5, 2013. ADDRESSES: Submit written comments to Scott Gibbons, Office of Unemployment Insurance... Information Relay Service at 1-877-889-5627 (TTY/TDD). Email: gibbons.scott@dol.gov . A copy of the proposed information collection request (ICR) can be obtained by contacting Mr. Gibbons. SUPPLEMENTARY INFORMATION: I...

  9. 40 CFR 2.203 - Notice to be included in EPA requests, demands, and forms; method of asserting business...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... at time of submission. 2.203 Section 2.203 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... assert claim at time of submission. (a) Notice to be included in certain requests and demands for... and the Federal Register. (b) Method and time of asserting business confidentiality claim. A business...

  10. 40 CFR 2.203 - Notice to be included in EPA requests, demands, and forms; method of asserting business...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... at time of submission. 2.203 Section 2.203 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... assert claim at time of submission. (a) Notice to be included in certain requests and demands for... and the Federal Register. (b) Method and time of asserting business confidentiality claim. A business...

  11. 77 FR 50521 - Agency Information Collection Activities: Request for an Individual Fee Waiver, Form Number I-912...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-21

    ... SECURITY U.S. Citizenship and Immigration Services Agency Information Collection Activities: Request for an.... SUMMARY: The Department of Homeland Security, U.S. Citizenship and Immigration Services (USCIS) will be... Immigration Services (USCIS) to make a determination that the applicant is unable to pay the application...

  12. 75 FR 37519 - 30-Day Notice of Proposed Information Collection: Forms DS-4138, Request for Escort Screening...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-29

    ...-4140, Application for OFM Web Site Account; DS- 1504; Request for Customs Clearance of Merchandise... benefit. Title of Information Collection: Application for OFM Web site Account. OMB Control Number: 1405..., Application for OFM Web site Account, is the means by which the Department provides accredited foreign...

  13. 78 FR 40442 - Submission for OMB Review; Comment Request-Third Party Conformity Assessment Body Registration Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-05

    ..., the number of new third party conformity assessment bodies (53) accepted by the CPSC has remained stable. Based on these historical levels of acceptance, the estimated number of third party conformity... COMMISSION Submission for OMB Review; Comment Request--Third Party Conformity Assessment Body Registration...

  14. A clinical perspective on common forms of acquired heterotopic ossification

    SciTech Connect

    Garland, D.E. )

    1991-02-01

    The clinical courses of heterotopic ossification (HO) as a consequence of trauma and central nervous system insults have many similarities as well as dissimilarities. Detection is commonly noted at two months. The incidence of clinically significant HO is 10%-20%. Approximately 10% of the HO is massive and causes severe restriction in joint motion or ankylosis. The most common sign and symptom are decreased range of motion and pain. The locations are the proximal limbs and joints. Sites of HO about a joint may vary according to the etiology of the HO. Roentgenographic evolution of HO occurs during a six-month period in the majority of patients. Treatment modalities include diphosphonates, indomethacin, radiation, range of motion exercises, and surgical excision. Surgical timing differs according to etiology: traumatic HO may be resected at six months; spinal cord injury HO is excised at one year; and traumatic brain injury HO is removed at 1.5 years. A small number of patients have progression of HO with medicinal treatment and recurrence after resection. The patients seem recalcitrant to present treatment methods regardless of the HO etiology. 117 refs.

  15. [Clinical and genetic study of juvenile form of Huntington's disease].

    PubMed

    Zdzienicka, Elzbieta; Rakowicz, Maria; Mierzewska, Hanna; Hoffman-Zacharska, Dorota; Jakubowska, Teresa; Poniatowska, Renata; Sułek, Anna; Waliniowska, Elzbieta; Zalewska, Urszula; Kulczycki, Jerzy; Zaremba, Jacek

    2002-01-01

    Huntington's disease (HD) is an autosomal dominant neurodegenerative disorder caused by high instability and extension of CAG sequences within the coding region of IT15 gene. It affects both sexes and age at onset of the disease may be different but usually occurs in midlife. The term Juvenile Huntington's disease is generally applied to 10% of the cases with onset before 20. We present clinical features and results of DNA analysis in 16 patients from 14 families aged 9 to 36. The age of onset was between 5 to 20 years; duration of the disease was from 2 to 16 years. In 10 cases the mutated gene was transmitted by the affected father; only in two cases by the mother. In all cases anticipation manifested by earlier onset of the disease in subsequent generations and expansion of CAG repeats was documented. The number of CAG repeats was between 50 and 92 (mean 67.3). Progressive mental deterioration, declining school performance, hyperactivity and emotional disturbances were the first symptoms of juvenile HD. Neuropsychological assessment showed mean IQ in Wechsler test 59.6 and Mini-Mental State Examination scores 22.8. Rigidity and bradykinesia were predominant features in the cases with juvenile onset, the remaining ones developed choreatic movements. Three persons had epileptic seizures; two (both females) revealed behaviour and psychiatric disturbances. Amplitudes of somatosensory evoked potentials, visual evoked potentials and brainstem auditory evoked potentials were markedly reduced. MRI of the brain showed atrophy of heads of the caudate nuclei, putamen and globus pallidus.

  16. [Clinical and biological forms of secondary hyperparathyroidism in dialysis patients].

    PubMed

    Jean, Guillaume; Souberbielle, Jean-Claude; Lorriaux, Christie; Mayor, Brice; Hurot, Jean-Marc; Deleaval, Patrick; Chazot, Charles

    2012-02-01

    The diagnosis and treatment of hyperparathyroidism (HPT) are not yet well standardized in chronic renal failure patients. The aim of this study was to identify the main types of HPT on the basis of clinical and biological findings in a haemodialysis population. Between 2004 and 2010, all patients undergoing haemodialysis were observed and treated using the same strategy: conventional therapy with vitamin D supplements, phosphate binders, dialysate calcium adjusted to serum parathyroid hormone (PTH) level and calcitriol analogues (CA), along with regular bone marker analysis. Wherever required, cinacalcet (CC) was administered and parathyroidectomy (PTX) was performed. Of the 520 patients, 158 were classified as having HPT (30%) with a serum PTH level greater than 300 pg/mL. From this population, we identified five main types of HPT: (1) HPT with 'no bone impact' had normal or low bone marker levels (n=28, 17.7%); (2) 'secondary' HPT had elevated bone marker levels, but showed favorable response to CT (n=59, 37.7%); (3) 'tertiary' HPT was accompanied with hypercalcemia and required CC or PTX in case of CT failure (n=11, 6.9%); (4) 'mixed' HPT could not be completely treated with CT and required CC or PTX (n=57, 36%); (5) 'resistant' HPT did not show hypercalcemia, but required PTX after CT and CC failure (n=3, 1.8%). CC was prescribed in 51% cases, CA in 76%, and PTX in 7% of cases. We typified HPT on the basis of physiopathology and stages of HPT progression. Further studies on HPT that focus on bone marker levels are required to establish well-defined treatment strategies. In our study, HPT cases did not show uniform findings in Hémodialyse (HD) patients because of the variation in the stages of the disease at the time of diagnosis.

  17. NCI Requests Targets for Monoclonal Antibody Production and Characterization | Office of Cancer Clinical Proteomics Research

    Cancer.gov

    In an effort to provide well-characterized monoclonal antibodies to the scientific community, NCI's Antibody Characterization Program requests cancer-related protein targets for affinity production and distribution. Submissions will be accepted through February 5, 2016.

  18. NCI Requests Targets for Monoclonal Antibody Production and Characterization | Office of Cancer Clinical Proteomics Research

    Cancer.gov

    In an effort to provide well-characterized monoclonal antibodies to the scientific community, NCI's Antibody Characterization Program requests cancer-related protein targets for affinity production and distribution. Submissions will be accepted through July 12, 2013.

  19. 78 FR 27243 - Proposed Collection; 60-Day Comment Request: Interactive Informed Consent for Pediatric Clinical...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    ... among individuals with low literacy and numeracy skills. OMB approval is requested for 18 months. There... of information is necessary for the proper performance of the function of the agency, including whether the information will have practical utility; (2) The accuracy of the agency's estimate of the...

  20. 78 FR 64057 - Proposed Collection; Comment Request for Forms 1065, 1065-B, 1066, 1120, 1120-C, 1120-F, 1120-H...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... Reporting Agent Authorization. Form 8693 Low-Income Housing Credit Disposition Bond. Form 8697 Interest... Credit. Form 8912 Credit to Holders of Tax Credit Bonds. Form 8916 Reconciliation of Schedule M-3 Taxable...(e)(4) by a Qualified Investment Entity. Form 8931 Agricultural Chemicals Security Credit. Form...