Individual Online Account (OLA) Usability Testing

CONSENT FORM

The Internal Revenue Service (IRS) is conducting one-on-one interviews to gather feedback and opinions on taxpayer experiences with IRS Taxpayer Online Account.

You have been invited to participate in a 60 minute testing session and interview with a representative of the IRS. The IRS will be using these findings to improve its communications with taxpayers. Before you agree to join in this discussion, please review and consider the conditions listed below:

• Participation in this interview is completely voluntary.

• Any questions you have will be answered before the interview begins.

• The interview may be audio and/or videotaped.

• The information you give will be anonymous and your name will not be associated with your answers.

• Your name will not be used in any reports about this interview and no quotes will be attributed to you.

• You may choose not to answer questions that you do not want to answer.

• You may choose to leave the interview at any time for any reason.

• Although we believe that participation in this interview poses little or no risk to you, some people may feel a little anxious about the interview.

• You will receive a $100 honorarium as appreciation for your participation and time.

• Should you have any questions regarding this study, you may contact Julie Brown at Fors Marsh Group, at 703-785-1461.

Your signature below indicates that you understand the conditions stated above and agree to participate in this interview. You will be given a copy of this consent to keep for your records.

Signature: _____________________________________ Date: ________________

The Paperwork Reduction Act requires that the IRS display an OMB control number on all public information requests. The OMB Control Number for this study is 1545-2274. The time estimated for your participation is 60 minutes. If you have any comments regarding the time estimates associated with this study or suggestions on making this process simpler, please write to the Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, – Room 6129 1111 Constitution Ave., NW, Washington, DC  20224.

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