Intake/Interview and Quality Review Sheet

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⚠️ Notice: This information collection may be referencing outdated material.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 Form
13614-C Intake/Interview & Quality Review Sheet f13614-c--2021-10-00.pdf Form
13614-C Intake/Interview & Quality Review Sheet f13614-c--2021-10-00.pdf Form

Information Collection (IC) Details

IC Title:	Intake/Interview and Quality Review Sheet	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	13614-C	Intake/Interview & Quality Review Sheet	f13614-c--2021-10-00.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,700,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,700,000	370,000	3,330,000
Annual IC Time Burden (Hours)	616,667	61,667	555,000
Annual IC Cost Burden (Dollars)	0	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.