Information Collection

Survey Questionnaire

IC 19625 under ICR 200808-1545-021 · OMB 1545-1922.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 12844 Survey Questionnaire	Form
12844 Survey Questionnaire 30944c05.pdf	Form

IC Title:

Agency IC Tracking Number:

ah-1922-021

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	12844	Survey Questionnaire	30944c05.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 33,085

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	33,085	33,085
Annual IC Time Burden (Hours)	2,757	2,757
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.