Information Collection

Intake/Interview & Quality Review Sheet - Spanish

IC 191233 under ICR 201603-1545-009 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 13614-C (SP) Intake/Interview & Quality Review Sheet - Spanish	Form
13614-C (SP) Intake/Interview & Quality Review Sheet - Spanish Form 13614-c_SP--2015-10-00.pdf	Form

IC Title:

Intake/Interview & Quality Review Sheet - Spanish

Agency IC Tracking Number:

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	13614-C (SP)	Intake/Interview & Quality Review Sheet - Spanish	Form 13614-c_SP--2015-10-00.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 370,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	370,000	145,000	225,000
Annual IC Time Burden (Hours)	61,803	24,220	37,583
Annual IC Cost Burden (Dollars)	0	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.