Intake/Interview & Quality Review Sheets

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form 13614-NR Nonresident Alien Intake and Interview Sheet	Form	Modified	Available
Form Form 13614-NR Nonresident Alien Intake and Interview Sheet	Form	Modified	Repair queued
Form 13614-C Intake/Interview & Quality Review Sheet	Form	Modified	Available
Form 13614-C Intake/Interview and Quality Review Sheet	Form	Modified	Repair queued
Form 13614-C (SP) Intake/Interview & Quality Review Sheet - Spanish	Form	Removed	Available
Form 13614-C (SP) Intake/Interview & Quality Review Sheet - Spanish	Form	Removed	Repair queued
1545-1964 Supporting Statement.docx	Supporting Statement A	Uploaded 2022-09-23	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
242421	Nonresident Alien Intake and Interview Sheet	Form	Modified	Nonresident Alien Intake and Interview Sheet
242421	Nonresident Alien Intake and Interview Sheet	Form	Modified
19697	Intake/Interview and Quality Review Sheet	Form	Modified	Intake/Interview & Quality Review Sheet
19697	Intake/Interview and Quality Review Sheet	Form	Modified
191233	Intake/Interview & Quality Review Sheet - Spanish	Form	Removed	Intake/Interview & Quality Review Sheet - Spanish
191233	Intake/Interview & Quality Review Sheet - Spanish	Form	Removed

ICR Details

OMB Control No: 1545-1964	ICR Reference No: 202209-1545-008
Status: Historical Active	Previous ICR Reference No: 202004-1545-016
Agency/Subagency: TREAS/IRS	Agency Tracking No: Ready for Treasury
Title: Intake/Interview & Quality Review Sheets
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/15/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/29/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2024	36 Months From Approved	11/30/2022
Responses	3,750,000	0	3,750,000
Time Burden (Hours)	625,000	0	625,136
Cost Burden (Dollars)	0	0	0

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Abstract: The Volunteer Income Tax Assistance (VITA) program developed the Forms 13614-C and 13614-NR that contain a standardized list of required intake questions to guide volunteers in asking taxpayers basic questions about themselves. The forms are effective tools to ensure VITA volunteers consistently collect personal information from each taxpayer to assure the tax returns are prepared accurately and avoid erroneous returns. These forms are critical to continued improvements in the accuracy of volunteer-prepared returns for taxpayers utilizing the VITA program. Form 13614-C is used to assist VITA volunteers in preparing individual tax returns for citizens or residents of the United States. The IRS also provides multiple translations of Form 13614-C. Form 13614-NR is used to assist VITA volunteers in preparing individual tax returns for nonresident aliens.

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Authorizing Statute(s): US Code: 26 USC 7526A Name of Law: Return Preparation Programs For Applicable Taxpayers
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 36379	06/16/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 59163	09/29/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Intake/Interview & Quality Review Sheet - Spanish	13614-C (SP)	Intake/Interview & Quality Review Sheet - Spanish
Intake/Interview and Quality Review Sheet	13614-C	Intake/Interview & Quality Review Sheet
Nonresident Alien Intake and Interview Sheet	Form 13614-NR	Nonresident Alien Intake and Interview Sheet

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,750,000	3,750,000	0	0	0	0
Annual Time Burden (Hours)	625,000	625,136	0	-136	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There is no change to the burden previously approved by OMB. However, since there is no difference in the burden or information collected in the Spanish translation, the burden for Form 13614-C (SP) was incorporated in the information collection for Form 13614-C. The total burden decreased by 136 hours due to a calculation discrepancy.

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Annual Cost to Federal Government: $80,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/29/2022

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