IRS W&I Independent Review of IRS Free File Program

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Online Screening Form for Free File Taxpayers_Draft Jun 21

IRS W&I Independent Review of IRS Free File Program

OMB: 1545-2274

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Online screening form for taxpayers

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

MITRE is conducting a study to understands taxpayers’ experience with the IRS Free File online software. 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.

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. 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.


As a taxpayer who may use IRS Free File, 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 (571) 310-1902.

*Asterisks mark required fields



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBabin, Holly J.
File Modified0000-00-00
File Created2021-01-15

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