SOI 368-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 CLD Market Segmentation Focus Groups, SOI-368

Please find attached, documentation needed by the Office of Management

and Budget for CLD Market Segmentation Focus Groups, SOI-368. The

burden associated with this study is 264 hours.

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

Attachments:

Cover Memorandum to OMB

Clearance Request

Attachments

Screeners

Moderator’s Guide

Reminder Notification

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 CLD Market Segmentation Focus Groups, SOI-368

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 264 hours.

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