Information Collection

2014 Tax Time Savings Campaign Evaluation Form

IC 209597 under ICR 201210-3170-001 · OMB 3170-0024.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3170-0024 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
12062013_EvaluationForm_OMB.pdf	Other-Survey
IC Template 3170-0024 vs2 Tax Time.pdf IC Template for Tax Time Customer Survey	IC Document

IC Title:

2014 Tax Time Savings Campaign Evaluation Form

Agency IC Tracking Number:

IC Status: New

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
Other-Survey			12062013_EvaluationForm_OMB.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IC Template for Tax Time Customer Survey	IC Template 3170-0024 vs2 Tax Time.pdf	12/06/2013

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