Information Collection

2018 Life Events Alert Analysis

IC 234489 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⚠️ Notice: This information collection may be referencing outdated material.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
PCG Life Events Screener 11 15 18.docx	Other-Sceener
Life Events Interview Guide 2.pdf	Other-Interview Guide
2018 Life Events Alert - Short Form.docx Short Form	IC Document

IC Title:

2018 Life Events Alert Analysis

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Sceener			PCG Life Events Screener 11 15 18.docx		No		Printable Only
Other-Interview Guide			Life Events Interview Guide 2.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	71	71
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Short Form	2018 Life Events Alert - Short Form.docx	12/12/2018

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