OMB No. 1545-1349
EIC Qualifying Child Certification Program
Focus Group Recruitment Screener
Hello, may I speak to [Name]? My name is [Name], and I am calling about a research study requested by the Internal Revenue Service. The IRS is conducting the study and I’m calling from Westat, a research firm, to invite you to a discussion group session.
The IRS is interested in learning about experiences you and your firm may have encountered submitting Earned Income Credit claims on behalf of taxpayers. [If needed: The Earned Income Credit (EITC) offsets federal taxes on earned wages for working families and low income individuals.] We would like to discuss what that experience was like for you and your staff, and ways that IRS may improve this process.
You are invited to participate in this discussion group because you prepared returns for taxpayers who claimed the Earned Income Credit [EIC]. We are forming a discussion group in your area, on August X/September X at XX, at X:00 pm. The focus group interview should take about an hour and a half. To thank you for your participation, we will provide dinner and an honorarium of $100.
Your participation in the discussion group is voluntary. Participation in the group will not affect your taxes or your tax status, or that of your firm. Identifying information about you will not be shared with the IRS.
The Paperwork Reduction Act requires that the IRS provide an OMB control number for all public information requests. The OMB Control Number for this study is 1545-1349.
Also, if you have any comments regarding the time estimates associated with this study or suggestions on making this process simpler, please write to the, Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, Washington, DC 20224.
Would you be willing to participate? Thank you very much. I need to obtain a few pieces of information from you.
NAME:
ADDRESS:
PHONE: |
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HOW MANY PREPARERS ARE IN YOUR OFFICE? (check one): 1-5 21-30 more than 50 6-10 31-40 11-20 41-50 |
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IS YOUR OFFICE PART OF A LARGER CHAIN OR FIRM? (check one):
Which one? ___________________________________________________
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Yes >>THANK & TERMINATE No Not sure >>THANK & TERMINATE |
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IN THE PAST YEAR, DID YOU PREPARE A RETURN FOR ANY TAXPAYER CLAIMING EIC? Yes No >>THANK & TERMINATE Not sure >>THANK & TERMINATE |
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APPROXIMATELY HOW MANY EIC CLAIMS DID YOU SUBMIT LAST YEAR?
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HAVE YOU ATTENDED AN IRS-SPONSORED TAX FORUM, EITHER LAST YEAR (2006) OR THE YEAR BEFORE (2005)?
Yes [RECRUIT NO MORE THAN 2 PER GROUP] No Not sure
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D DID THIS TAX PREPARER ACCEPT OR DECLINE THE INVITATION TO PARTICPATE IN THE FOCUS GROUP? (check one)
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GROUP DATE & TIME (check one): AUGUST X, X pm SEPTEMBER X, X pm GROUP CITY & STATE:
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Version 06-27-07
File Type | application/msword |
File Title | EITC Qualifying Child Certification Program |
Author | Debra Stark |
Last Modified By | mdsloa00 |
File Modified | 2007-06-27 |
File Created | 2007-06-27 |