Information Collection

Form 1040 Revisions Independent Review

IC 233873 under ICR 201809-1545-018 · OMB 1545-2274.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Form 1040 Revisions Independent Review

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.