Form 1040 Revisions Independent Review

Online screening form for taxpayers

Welcome to the MITRE 1040 Form Study site. Thank you for visiting and answering a few questions to help us determine if you are eligible to participate.

The IRS plans to use a redesigned 1040 form for the 2019 filing season. MITRE is conducting a study about the new 1040 form for the IRS. MITRE is looking for volunteers in your area to participate in a 60- to 90-minute, in-person research interview. Participants will receive a $100 pre-paid VISA gift card as a token of our appreciation.

As a taxpayer who has previously filed with a paper form, we believe you might be eligible to participate. The questions below will help us determine eligibility.

1. What is your name?*

First Name: _________________________________Last Name: _________________________________

If you qualify, we will call you to schedule your interview and to ask a few more eligibility questions.

2. What is the best phone number to reach you?* ____________________________

3. What is your email address? _____________________________

4. What is the best time of day for us to call you?

a. Morning

b. Afternoon

c. Evening

5. In what zip code do you currently live?* __________________________________

6. Did you receive a letter from MITRE asking you to participate in this study?*

a. Yes

b. No

c. Not sure

Thank you for your responses. We will be in touch soon if you are eligible to participate in the independent research study.

For any questions about this study, please contact the MITRE team at (xxx) xxx-xxxx.

*Asterisks mark required fields