QTAX F-72 Redesign Cognitive Testing

Generic Clearance for Internet Nonprobability Panel Pretesting

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0978 can be found here:

Documents and Forms

Document Name Document Type
Form 1 QTAX F-72 Redesign Cognitive Testing Form and Instruction
1 Revised F-72 Instrument F72_Revised 8.14.19.xlsx Form and Instruction
2 Original F-72 Instrument Original blank F72.xlsx Form and Instruction
QTax OMB generic clearance letter draft 28Oct2019.docx OMB Memo IC Document
Draft QTAX protocol 8.14.19.docx Protocol IC Document
New F-72 tax code descriptions for classification manual 8.14.19.docx F-72 Classification Manual IC Document

Information Collection (IC) Details

IC Title:	QTAX F-72 Redesign Cognitive Testing	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Revised F-72 Instrument	F72_Revised 8.14.19.xlsx		No		Fillable Fileable
Form and Instruction	2	Original F-72 Instrument	Original blank F72.xlsx		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	QTax OMB generic clearance letter draft 28Oct2019.docx	10/28/2019
Protocol	Draft QTAX protocol 8.14.19.docx	09/30/2019
F-72 Classification Manual	New F-72 tax code descriptions for classification manual 8.14.19.docx	09/30/2019

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