A11-23-2 Direct Pay Survey

Improving Customer Experience (OMB Circular A-11, Section 280 Implementation)

Documents and Forms

Document Name Document Type
A11-23-2 Medallia - Direct Pay Survey.xlsx Other-Attachment
A11-23-2 Medallia - Direct Pay Survey.xlsx Other-Attachment
A11-23-2 Direct Pay Survey A11 Supporting Statement_20230322.docx A11-23-2 Direct Pay Survey IC Document
A11-23-2 Direct Pay Survey A11 Supporting Statement_20230322.docx A11-23-2 Direct Pay Survey IC Document

Information Collection (IC) Details

IC Title:	A11-23-2 Direct Pay Survey	Agency IC Tracking Number:

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
Other-Attachment			A11-23-2 Medallia - Direct Pay Survey.xlsx		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20,000	19,472	528
Annual IC Time Burden (Hours)	333	289	44
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
A11-23-2 Direct Pay Survey	A11-23-2 Direct Pay Survey A11 Supporting Statement_20230322.docx	07/10/2023

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