Information Collection

Survey Questionnaire

IC 19625 under ICR 200808-1545-021 · OMB 1545-1922.

Documents and Forms

Document Name Document Type
Form 12844 Survey Questionnaire Form
12844 Survey Questionnaire 30944c05.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey Questionnaire	Agency IC Tracking Number:	ah-1922-021

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	12844	Survey Questionnaire	30944c05.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 33,085	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	33,085	33,085
Annual IC Time Burden (Hours)	2,757	2,757
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.