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OMB # 1545-1432
IRS SMALL BUSINESS/SELF-EMPLOYED
CUSTOMER SATISFACTION SURVEY
COLLECTION
The IRS is trying to improve its service to the public. You can help in this important mission by answering the
questions below. This voluntary survey should take less than five minutes to complete. When completing this
survey, please mark your responses with an ‘x’ using a blue or black pen like this example . Do not mark outside
anonymous
of the response area like this example . Your responses will be kept completely confidential,
and no one at the
IRS will see your completed questionnaire. If you have any questions about this survey, you may call The Survey
Processing Center at 1-866-377-8208.
We want to ask you very specifically about the contacts you had
with a Collection revenue officer—not about all of your contacts
with the IRS.
1
Reserved for Unique ID
The questions that follow ask your opinion regarding your
experience working with the revenue officer assigned to your case
from our local IRS office. For each question, regardless of whether
you agree or disagree with the final case outcome, please indicate
your opinion by choosing a number from 1 to 5, where 1 means
“Very Dissatisfied” and 5 means “Very Satisfied.”
Again, focusing on your experience working with the revenue officer
assigned to your case from the local IRS office, how satisfied are you
with:
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
Very
Satisfied
Very
Dissatisfied
1
T
2
T
3
T
4
T
5
T
Ease of understanding correspondence from your assigned revenue officer. ....
Ease of contacting your assigned revenue officer. ............................................
Amount of time your revenue officer took to respond to you. ...........................
Courtesy and professionalism of your assigned revenue officer. ......................
Explanation of the collection process by your revenue officer. .........................
Explanation of what would happen if you did not comply. ...............................
Acknowledging receipt of the information you submitted .................................
Consideration given to the information you submitted. .....................................
Explanation of payment options that may be available to you. ..........................
Flexibility of your revenue officer in resolving the issue. .................................
Keeping you up-to-date on your field collection process. .................................
Notifying you of case closure. ...........................................................................
Amount of time you had to spend on this collection issue. ...............................
Fairness of treatment by your revenue officer. ..................................................
Very
Satisfied
Very
2
Regardless of whether you agree or disagree with the final case
Dissatisfied
outcome, how would you rate your overall satisfaction with your
1
experience working with the revenue officer assigned to your case
T
from the local IRS office?..................................................................................
3
How many IRS revenue officers contacted you regarding this case?
2
T
3
T
4
T
5
T
Officers
4
Are you... ?
The taxpayer
A tax professional who represented the taxpayer (Skip to box after Question 7)
Someone else who represented the taxpayer (Skip to box after Question 7)
Form 13257D (Rev. 2-2008)
Cat. No. 34056W
Please continue on back
Department of the Treasury - Internal Revenue Service
5
4
If you are the taxpayer, did you use a tax professional to assist you in handling your Collection case with the IRS?
Yes
No
Don't recall
6
Whom did you rely on most for information regarding the status of your Collection case?
Your tax professional
Your IRS revenue officer (Skip to box after Question 7)
Other (Skip to box after Question 7)
7
T
How satisfied are you with your tax professional keeping you
up-to-date on your field collection process?
Very
Satisfied
Very
Dissatisfied
1
T
2
T
3
T
4
T
5
T
Occasionally, we conduct additional in-depth IRS-related research. Research participants may receive a small monetary incentive
to participate depending on the research. If you are interested in participating in future research, please provide us with your
telephone number, best time of day to call, and your email address (if available). This information will not be shared with the IRS
and will be used only for the purpose of survey research.
Telephone #:
Best time to call:
Email address:
If you have been unable to resolve any specific problems with your tax matter through the normal IRS channels, or now
face a significant hardship due to the application of the tax law, we encourage you to contact the Taxpayer Advocate
Service at 1-877-777-4778.
8
Use this space for comments or suggestions for improvement.
Paperwork Reduction Act Notice
The Paperwork Reduction Act requires that the IRS display an OMB control number on all public information requests. The OMB Control
Number for this study is 1545-1432. 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.
Thank you for completing the survey.
Please return the questionnaire by mail using the enclosed business return envelope.
Form 13257D (Rev. 2-2008)
Cat. No. 34056W
Department of the Treasury - Internal Revenue Service
Do We Have Your Input Yet?
Recently, you received a questionnaire asking your opinions
about the service you received from the IRS in a recent
contact. If you have already completed and returned the
questionnaire, please accept our sincere thanks. If not, please
take a few minutes to complete it and return it today. We want
to be sure we have your opinions and suggestions.
If you did not receive the questionnaire, or it got misplaced,
please call 1-866-377-8208.
Dr. Peter H. Webb
Project Director
anonymous
File Type | application/pdf |
File Title | Microsoft Word - Collection OMB 2009.doc |
Author | pbzlb |
File Modified | 2008-12-10 |
File Created | 2008-12-04 |