Information Collection

TAX TIME ACCOUNT CARD PILOT- Recruitment Screener

IC 195199 under ICR 201010-1510-001 · OMB 1510-0075.

Documents and Forms

Document Name Document Type
Tax Time Pilot Scr w comments 2.doc Other-Screener Questions

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TAX TIME ACCOUNT CARD PILOT- Recruitment Screener	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-Screener Questions			Tax Time Pilot Scr w comments 2.doc		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 128	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	128	128
Annual IC Time Burden (Hours)	22	22
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.