Encouraging Balance Repayment

Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2256 can be found here:

Documents and Forms

Document Name Document Type
Interview Script for Encouraging Balance Repayment.docx Other-Interview Script
Short Form-Encouraging Balance Repayment.doc Short Form - Encouraging Balance Repayments IC Document

Information Collection (IC) Details

IC Title:	Encouraging Balance Repayment	Agency IC Tracking Number:	Ready for Agency Review

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-Interview Script			Interview Script for Encouraging Balance Repayment.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	65	65
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Short Form - Encouraging Balance Repayments	Short Form-Encouraging Balance Repayment.doc	08/11/2017

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