Intake/Interview and Quality Review Sheet (English & 9 Translations)

Intake/Interview & Quality Review Sheets

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1964 can be found here:

Documents and Forms

Document Name Document Type
Form 13614-C Intake/Interview and Quality Review Sheet (English & 9 Translations) Form
13614-C Intake/Interview & Quality Review Sheet f13614-c--2019-10-00.pdf Form
13614-C (AR) Intake/Interview & Quality Review Sheet - Arabic f13614-c_ar--2019-10-00.pdf Form
13614-C (CN Simpli Intake/Interview & Quality Review Sheet - Chinese (Simpl f13614-c_cn-s--2019-10-00.pdf Form
13614-C (CN Tradit Intake/Interview & Quality Review Sheet - Chinese Tradit f13614-c_cn-t--2019-10-00.pdf Form
13614-C (TL) Intake/Interview & Quality Review Sheet - Tagalog f13614-c_tl--2019-10-00.pdf Form
13614-C (VN) Intake/Interview & Quality Review Sheet - Vietnamese f13614-c_vn--2019-10-00--acc.pdf Form
13614-C (PL) Intake/Interview & Quality Review Sheet - Polish f13614-c_pl--2019-10-00.pdf Form
13614-C (PT) Intake/Interview & Quality Review Sheet - (Portuguese) f13614-c_pt--2019-10-00.pdf Form
13614-C (KR) Intake/Interview & Quality Review Sheet - Korean f13614-c_kr--2019-10-00.pdf Form
13614-C (HT) Intake/Interview & Quality Review Sheet - Creole French f13614-c_ht--2018-10-00.pdf Form

Information Collection (IC) Details

IC Title:	Intake/Interview and Quality Review Sheet (English & 9 Translations)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	13614-C	Intake/Interview & Quality Review Sheet	f13614-c--2019-10-00.pdf	Yes	No	Fillable Printable
Form	13614-C (AR)	Intake/Interview & Quality Review Sheet - Arabic	f13614-c_ar--2019-10-00.pdf	Yes	No	Fillable Printable
Form	13614-C (CN Simplified)	Intake/Interview & Quality Review Sheet - Chinese (Simplified)	f13614-c_cn-s--2019-10-00.pdf	Yes	No	Fillable Printable
Form	13614-C (CN Traditional)	Intake/Interview & Quality Review Sheet - Chinese Traditional	f13614-c_cn-t--2019-10-00.pdf	Yes	No	Fillable Printable
Form	13614-C (TL)	Intake/Interview & Quality Review Sheet - Tagalog	f13614-c_tl--2019-10-00.pdf	Yes	No	Fillable Printable
Form	13614-C (VN)	Intake/Interview & Quality Review Sheet - Vietnamese	f13614-c_vn--2019-10-00--acc.pdf	Yes	No	Fillable Printable
Form	13614-C (PL)	Intake/Interview & Quality Review Sheet - Polish	f13614-c_pl--2019-10-00.pdf	Yes	No	Fillable Printable
Form	13614-C (PT)	Intake/Interview & Quality Review Sheet - (Portuguese)	f13614-c_pt--2019-10-00.pdf	Yes	No	Fillable Printable
Form	13614-C (KR)	Intake/Interview & Quality Review Sheet - Korean	f13614-c_kr--2019-10-00.pdf	Yes	No	Fillable Printable
Form	13614-C (HT)	Intake/Interview & Quality Review Sheet - Creole French	f13614-c_ht--2018-10-00.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,330,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,330,000	3,330,000
Annual IC Time Burden (Hours)	555,000	555,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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