SOI-337 - Justification Statement

Note to: Glenn P. Kirkland

IRS Reports Clearance Office

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

From: Laura R. Rasmussen

Chief, Statistical Support Team

Statistics of Income RAS:S:S:S

Subject: OMB Approval Request for Field Exam Telephone Focus Group Study–SOI-337

Please find attached, documentation needed by the Office of

Management and Budget for Field Exam Telephone Focus Group Study–

SOI-337. The burden associated with this study is 135 hours.

If you have any questions regarding this project, please direct them to me at (202) 874-1269.

Attachments:

Cover Memorandum to OMB

OMB Form 83-C

Clearance Request

Attachments

Telephone Screener

Participant Information Form

Consent Form

Discussion Guide

Confirmation Letter

Telephone Reminder All Script

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

From: Laura R. Rasmussen

Chief, Statistical Support Team

Statistics of Income RAS:S:S:S

Subject: OMB Approval for Field Exam Telephone Focus Group Study–SOI-337

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 135 hours.

If there are any questions regarding this project, please direct them to me at (202) 874-1269.