Information Collection

Intake/Interview and Quality Review Sheet

IC 19697 under ICR 200905-1545-005 · OMB 1545-1964.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1964 can be found here:

Documents and Forms

Document Name Document Type
Form 13614-C (SP) Intake/Interview and Quality Review Sheet Form
13614-C Intake/Interview and Quality Review Sheet F13614-C_092008.pdf Form
13614-C (SP) Entrevista y Hoja de Informaci�n F13614-C(SP)_0908.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Intake/Interview and Quality Review Sheet	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	13614-C (SP)	Entrevista y Hoja de Informaciï¿½n	F13614-C(SP)_0908.pdf		No		Fillable Printable
Form	13614-C	Intake/Interview and Quality Review Sheet	F13614-C_092008.pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,700,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,700,000	2,700,000
Annual IC Time Burden (Hours)	540,000	540,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.