Volunteer Return Preparation Program Hurricane Katrina Interview and Intake Sheet

ICR 200601-1545-008

OMB: 1545-1999

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1545-1999 200601-1545-008
Historical Active
TREAS/IRS
Volunteer Return Preparation Program Hurricane Katrina Interview and Intake Sheet
New collection (Request for a new OMB Control Number)   No
Emergency 01/26/2006
Approved without change 01/26/2006
Retrieve Notice of Action (NOA) 01/23/2006
  Inventory as of this Action Requested Previously Approved
07/31/2006 07/31/2006
1,056,049 0 0
105,605 0 0
0 0 0

The completed form is used by screeners, preparers, or other involved in the return preparation process to more accurately complete tax returns of Katrina impacted taxpayers having low to moderate incomes. These persons need assistance having their returns prepared so they can fully comply with the law. The form can also be used to assist the taxpayer after the appointment.

None
None


No

1
IC Title Form No. Form Name
Volunteer Return Preparation Program Hurricane Katrina Interview and Intake Sheet 13614K

  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 1,056,049 0 0 1,056,049 0 0
Annual Time Burden (Hours) 105,605 0 0 105,605 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
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.
01/23/2006


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