Attachment 1
Screener Guide
Confirmation Letter
Reminder Phone Script
Screener Guide
Form 8822
Hello, my name is ___________. I am calling on behalf of ICF Macro, a research and consulting firm in the Washington DC area. We are working with the Internal Revenue Service (IRS) to obtain feedback on a revised form they are developing. We are seeking participants for a focus group we are holding in [insert city].
IF ASKED: (EACH INTERVIEWER WILL HAVE THIS INFORMATION)
If respondents ask how their name was obtained, tell them their phone number was randomly selected from a list of individuals in the local calling area. If respondents are concerned about participating, tell them that our contract with the IRS specifically prohibits me from revealing their last name or any information about them to the IRS or anyone else. Participation in this focus group will not affect your taxes or filing status.
This project has been approved by the U.S. Office of Management and Budget (OMB). The OMB Clearance Number is 1545-1349. If you like, I can give you a name and address where you can send comments or suggestions for making this process simpler.
Internal Revenue Service
Tax Products Coordinating Committee
1111 Constitution Ave, NW IR-6526
SE:W:CAR:MP:T:T:SP
Washington, DC 20024
Your answers to these questions will be kept completely private by ICF Macro, meaning we will not provide your last name or any identifying information to the IRS.
Do you consider yourself to be fluent in English?
( ) Yes
If yes ask: Do you read and write in English?
(Yes) Continue
(No) Terminate
Individuals
2.. Did you file a Form 1040, 1040A or 1040EZ U.S. Individual Income Tax Return for 2009?
( ) Yes ……… …………………. Continue
( ) No Terminate
Businesses
Did you file one of the following returns for 2009: Form 706 and 709 (estates and trusts), 720, 940, 940-EZ, 941, 1041, 1065, 1120, 5500, 5500-EZ or Form 1040, 1040A, 1040-EZ, 1040NR, or 1040NR-EZ.
4. Are you the individual most familiar with completing your tax return?
( ) Yes ……… …………………. Continue
( ) No Terminate
5. For the tax year 2009, how was your tax return prepared? (Note to recruiter: Try to recruit paper and pencil or fillable form filers, but it is acceptable if approximately 60% of each group used software.
( ) Self-prepared using paper and pencil ………………………….Continue
( ) Self-prepared using software (60% maximum per group)….…Continue
( ) Self-prepared using IRS fillable forms from IRS.gov ……….…Continue
( ) Using preparer or someone else to prepare your return……..Terminate
( ) Not sure……………………………………………………………Terminate
For questions 6-12, recruit a mix of individuals
6. Into which of the following categories does your age fall? May opt-out if they wish to.
( ) less than 18 Terminate
( ) 18 to 33
( ) 34 to 44
( ) 45 to 64
( ) 65 and older
( ) Prefer not to answer
What was your filing status on your most recent tax return? [Read responses and check one]
( ) Single
( ) Married/jointly
( ) Head of household
( ) Widow/widower
8. Please identify your highest completed level of education. [May opt-out if they wish to.]
( ) No high school diploma
( ) High school graduate (or GED)
( ) Some technical or vocational school
( )Technical or vocational school graduate
( )Some college, no degree
( )Associate Degree
( )Bachelor’s Degree
( ) Master’s Degree or higher
( ) Prefer not to answer
So that we can be sure that all backgrounds are represented in our project, could you please tell me the race and ethnic origin you identify with [1 or more responses OK; may opt-out if they wish to].
9.. Are you of Hispanic or Latino origin (ethnicity)?
( ) Yes
( ) No
10. . Which of the following best describes your race?
( ) American Indian or Alaska Native
( ) Asian or Pacific Islander
( ) Black
( ) White
11. Which of these categories does your total annual household income fall into?
( ) Less than $10,000
( ) $10,000 but less than $25,000
( ) $25,000 but less than $50,000
( ) $50,000 but less than $75,000
( ) $75,000 but less than $100,000
( ) $100,000 or more
Record Gender—DO NOT ASK UNLESS UNABLE TO DETERMINE; may opt-out they wish to.
( ) Female
( ) Male
I’m glad that you will be able to join us! We will provide you with a $75 stipend for participating as well as a light meal and refreshments. At this point I need to collect some contact information from you. Then we will send you a confirmation letter and directions to the facility via e-mail.
We are only inviting a few people, so it is very important that you notify us as soon as possible if for some reason you are unable to participate. Please call [insert recruiter contact and phone] if this should happen. We look forward to having you participate on [insert day] at [insert time].
Do you have any questions?
Great! Thank you for your time and we will be in touch again the day of the focus group. Please remember to bring reading glasses if you use them.
TERMINATE TEXT
Thank you very much for your time, and thank you for answering our questions. Unfortunately, based on the focus group requirements, we cannot extend you an invitation. Perhaps at a later time we can include you in a future focus group. Have a good [day/evening].
Confirmation Letter
<Insert date>
Dear <insert name>,
Thank you for agreeing to participate in a focus group discussion on <insert date> at <insert time> at <insert facility name>. Please arrive 15 minutes before the start of the focus group so that you can complete some paperwork and have something to eat. Snacks and refreshments will be provided. As a thank you for participating in the focus group, you will be given $75 at the end of the discussion.
The directions to the facility are attached. We are accessible by public transportation [insert bus number/subway station as appropriate]. If you would like to drive, parking is available [insert information about parking and any costs].
If you have any questions, please call <insert facility manager’s name> at <facility phone number>.
Thank you for your time and participation.
[Insert facility manager’s name]
[Insert name of facility] on behalf of ICF Macro.
Reminder Phone Script
To be used no more than 24 hours prior to the scheduled focus group. If participant is not available, leave voice mail message and try back later.
Hello, may I speak to <insert name>? Hi, my name is <insert recruiter’s name> and I work for IFC Macro. I’m calling to remind you about the focus group you agreed to participate in tomorrow at <insert time> at <insert location>. Are you still able to participate? Great! I <mailed/e-mailed> you directions to our facility. Did you receive the directions? [If no, read directions and follow with an e-mail.] [If yes] Do you have any questions about how to get to the facility?
Please remember to bring reading glasses if you use them. If you need to cancel for any reason, I would appreciate if you would call me at ][insert phone number].
We look forward to seeing you tomorrow.
Attachment 2
Moderator’s Guide
Focus Group
Form 8822, Change of Address
Moderator’s Guide
I. Welcome and Introductions: 5 minutes
Introduction of the moderator.
Good evening. My name is <insert first name> and I will be your moderator for this session. I work for the Internal Revenue Service as (title). Today I will be asking for your input about two forms the Tax Forms and Publications Division of the IRS is revising. We will be talking about Form 8822 which is used to change your address with the IRS.
The IRS may make changes to the Form 8822 and its’ instructions based on comments from this focus group and others that we are conducting around the country (Wilmington, Delaware, Chicago, IL, Los Angeles, CA, Miami, FL.).
What is a moderator?
Before we begin, I want to let you know that I’m not an expert on the form we will be discussing or any other IRS tax forms. My job as a moderator is to:
Help guide the flow of conversation
Make sure everyone’s comments are heard
Ensure that questions about various aspects of the topic are covered
You will see me referring to this outline during our session. The outline includes all issues I need to raise with the group, and helps me keep the discussion on track. It is important that we cover all the issues. Therefore, I may have to break off the conversation in order to move on to another area in the guide.
Ground Rules
Before we begin, I’d like to review some ground rules for today’s discussion.
For the IRS to speak with the public, we are required to have approval from the Office of Management and Budget. Their approval number for this project is XXXX-XXXX. 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: IRS Tax Products Coordinating Committee, 1111 Constitution Avenue, NW, IR-6526, Washington, DC 20224. [Moderator: Post this bullet on newsprint/white board for each session
We are audio-taping the meeting for use in preparing a report about findings. Because we are taping this meeting, I ask that you speak loudly and clearly. If I think you are speaking too softly to be heard on the tape, I will ask you to speak up.
Please speak just one at a time so everyone has a chance to participate.
Don’t engage in side conversations-- we need for everyone to hear what the others are saying and for everything that’s said to be heard easily on the tape.
Sometimes I’ll go around the table and ask everyone for their input. At other times, I will just throw a topic open for general discussion.
Participation -- we would like to hear from everyone in the group, but you don’t have to answer every question.
No evaluation -- there are no right and wrong answers. We expect differences in how people see things, and we need to know about these differences.
Feel free to disagree or question each other. The purpose of a group session is for us to learn things in group interchanges that we don’t get out of one-on-one discussions. If someone says something you disagree with, please let us know.
Some observers are present behind the one-way mirror. They want to hear what you have to say about the topics we’ll discuss, but we don’t want you to feel constrained by their presence.
If anyone needs to use the restroom, they are located (specify). There is no need to stop the discussion.
Your participation is voluntary. Therefore, at any point in time you may leave the room.
If you have a cell phone, please turn it off or set to vibrate.
The session will last about two hours.
Informed Consent
All participants will have reviewed and signed the informed consent for their participation in the focus group prior to coming into the focus group room. This will be handled by a designated staff at the focus group facility and confirmed by a staff of Macro International.
Before coming into the room, you were asked to review and sign an informed consent form for your participation in the discussion. I just want to go over some of the key points on the consent form to make sure we are in agreement. Review consent form, emphasizing audio- and video taping, observers, confidentiality, and use of first names only.
First, I’d like each of you to introduce yourself to the group (first name only).
We are curious as to how you get your tax forms, publications, and instructions.
Did you get a tax package in the mail? (Count the number that received it.)
For those of you that received the tax package, did you use it?
How would you get this information if you did not receive a tax package?
Probe: Would you call IRS, go to irs.gov, go to an IRS tax office?
For those of you that did not get the tax package, how did you get the forms, instructions and you need?
II. Discussion and Exercise: 60 minutes
Note to Moderator: Hand out the current Form 8822 and scenario. Read the scenario with the participants. Give the participants 10 - 15 minutes to complete the form and 45 minutes for discussion.
What is your reaction to Form 8822?
Probe: Concerns and comments about print size, font type, layout, organization, etc.
What do you like about the form?
Please look at the flow of the form. Do you see anything that could be changed?
Looking at the wording of the form. Are there any lines that are confusing?
Probe: If they state a line is confusing, ask how they would reword the line.
Note to Moderator: Hand out the revised Form 8822. Give the participants 5-10 minutes to review the form and 30 minutes for discussion.
What is your reaction to the revised Form 8822?
Probe: Concerns and comments about print size, font type, layout, organization, etc.
Is there anything you like about the revised form?
Probe: Ask for specifics.
Is there anything that you do not like?
Do you see anything that could be changed?
Looking at the wording of the form. Are there any lines that are confusing?
Probe: If they state a line is confusing, ask how they would reword the line.
Now that you have time to look at both forms,
Which form do you prefer? Probe: Ask the participants to give response for the version they prefer. Is it due to the layout, font, flow, wording?
Is there information on the current form that you would like to see on the revised version? If so what would you like to see on the revised version?
IV. False close: 5 minutes
Note to Moderator: distribute correct answers to both scenarios. Explain that participants can discuss among themselves the answers while you check in with the observers to see if they have any addition questions they would like you to ask.
V. Closing: 2 minutes
Thinking about our discussion tonight, is there anything else you would like to share regarding the Forms 8822 we looked at today.
Thank you very much for coming this evening, and for sharing your ideas with us—we really appreciate your time.
Direct participants to area outside of the room to pick up their incentive.
File Type | application/msword |
File Title | TELEPHONE SCREENER |
Author | Maria Alvarado |
Last Modified By | qhrfb |
File Modified | 2010-09-08 |
File Created | 2010-07-27 |