Information Collection

A11-23-12 Mobile Survey in English

IC 249195 under ICR 202306-1545-013 · OMB 1545-2290.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
A11-20-12 Mobile Survey in English Attachment.xlsx	Other-Attachment
A11-20-12 Mobile Survey in English Attachment.xlsx	Other-Attachment
A11-23-12 TEGE Toll-Free Survey Supporting Statement 2023 JD.docx A11-23-12	IC Document
A11-23-12 TEGE Toll-Free Survey Supporting Statement 2023 JD.docx A11-23-12	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment			A11-20-12 Mobile Survey in English Attachment.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,600	-698,400	700,000
Annual IC Time Burden (Hours)	133	-34,867	35,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
A11-23-12	A11-23-12 TEGE Toll-Free Survey Supporting Statement 2023 JD.docx	07/07/2023

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