PUBLIC QUESTIONNAIRE

ICR 198611-1545-014

OMB: 1545-0978

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
131199
Migrated
ICR Details
1545-0978 198611-1545-014
Historical Active
TREAS/IRS
PUBLIC QUESTIONNAIRE
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/08/1986
Retrieve Notice of Action (NOA) 11/10/1986
APPROVED WITH THE CONDITION THAT THE DEPARTMENT REVIEW THE NEED FOR TH COLLECTION AND PROVIDE OMB WITH A REPORT ON THE RATE OF RETURN AND THE EFFECTIVENESS OF THE FORM. THIS REPORT MUST BE PROVIDED NOT LATER THAN AUGUST 15, 1987.
  Inventory as of this Action Requested Previously Approved
12/31/1987 12/31/1987
40,000 0 0
10,000 0 0
0 0 0

THIS FORM WILL BE USED AS A MECHANISM TO SECURE FEEDBACK FROM THE PUBLIC ON THE QUALITY OF SERVICE RECEIVED FROM IRS. COMPLETING THIS FORM WILL BE COMPLETELY VOLUNTARY.

None
None


No

1
IC Title Form No. Form Name
PUBLIC QUESTIONNAIRE

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 40,000 0 0 40,000 0 0
Annual Time Burden (Hours) 10,000 0 0 10,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/10/1986


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