SOI-255 Justification Statement

OMB Coverltr and reviewer note.doc

Cognitive and Psychological Research

SOI-255 Justification Statement

OMB: 1545-1349

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Note to: Glenn P. Kirkland

IRS Reports Clearance Office

Tax Forms and Publication SE:W:CAR:MP:T:T:SP


From: Kevin Cecco

Chief, Statistical Support Section

Statistics of Income RAS:S:S:S


Subject: OMB Approval Request for Usability Testing1040/ 4933 Call Scripts – SOI-255


Attached is the documentation needed by the Office of Management and

Budget for their review of Usability Testing1040/ 4933 Call Scripts,

SOI-255. The burden associated with this study is 137 hours.


If you have any questions regarding this project, please direct them to me at (202) 874-0464.



Attachments:

Cover Memorandum to OMB

OMB Form 83-C

Clearance Request

Attachments

Moderator’s Guide

Telephone Screener/Questionnaire

Confirmation Letter

Telephone Script

Confidentiality Consent Form

Video Release

Participant Questionnaire







NOTE TO THE REVIEWER OF: OMB Clearance # 1545-1349






From: Kevin Cecco

Chief, Statistical Support Section

Statistics of Income RAS:S:S:S



Subject: OMB Approval Request for Usability Testing1040/ 4933

Call Scripts – SOI-255




Please accept the enclosed materials for approval under the OMB Clearance package 1545-1349, "Cognitive and Psychological Research". In accordance with our agreement with OMB, I am submitting a brief description of the study and the materials to be used in the study at least two weeks in advance of the start of the study.


The total estimated burden for this study is 137 hours.


If there are any questions regarding this project, please direct them to me at (202) 874-0464.



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