Form 1040 Revisions Independent Review

Wage and Investment Strategies and Solutions Behavioral Laboratory Customer Surveys and Support

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2274 can be found here:

Documents and Forms

Document Name Document Type
1040 Usability Scenarios and Vignettes_v1_forOMB.docx Other-Scenarios and Vignettes
Invitation letter_v3_on letterhead_FINAL.docx Other-Invitation Letter
IRS 1040 Task 3 Draft Screener_FINAL_forOMB.docx Other-Screener
Online screening form for taxpayers_v1.docx Other-Online Screener
Task 3 Consent Form_v1_forOMB.docx Other-Consent Form
Task 3 Protocol_FINAL_forOMB.docx Other-Usability Testing Protocol
Task 3 Satisfaction Questionnaire_v2_forOMB.docx Other-Satisfaction Questionnaire
FFRDC Form 1040 Independent - Short Statement (1).doc Justification IC Document

Information Collection (IC) Details

IC Title:	Form 1040 Revisions Independent Review	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Scenarios and Vignettes	1040 Usability Scenarios and Vignettes_v1_forOMB.docx	No		Paper Only
Other-Invitation Letter	Invitation letter_v3_on letterhead_FINAL.docx	No		Paper Only
Other-Screener	IRS 1040 Task 3 Draft Screener_FINAL_forOMB.docx	No		Paper Only
Other-Online Screener	Online screening form for taxpayers_v1.docx	Yes	Yes	Fillable Fileable
Other-Consent Form	Task 3 Consent Form_v1_forOMB.docx	No		Paper Only
Other-Usability Testing Protocol	Task 3 Protocol_FINAL_forOMB.docx	No		Paper Only
Other-Satisfaction Questionnaire	Task 3 Satisfaction Questionnaire_v2_forOMB.docx	No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	174	174
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	FFRDC Form 1040 Independent - Short Statement (1).doc	11/02/2018

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