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Information Collection

Intake/Interview and Quality Review Sheet (English & 9 Translations)

IC 19697 under ICR 201701-1545-009 · OMB 1545-1964.

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Information Collection (IC) Details

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Intake/Interview and Quality Review Sheet (English & 9 Translations)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 13614-C (CN Traditional) Intake/Interview & Quality Review Sheet - Chinese Traditional f13614-c_cn-t--2016-10-00.pdf Yes No Fillable Printable
Form 13614-C (TL) Intake/Interview & Quality Review Sheet - Tagalog f13614-c_tl--2016-10-00.pdf Yes No Fillable Printable
Form 13614-C (VN) Intake/Interview & Quality Review Sheet - Vietnamese f13614-c_vn--2016-10-00.pdf Yes No Fillable Printable
Form 13614-C (PL) Intake/Interview & Quality Review Sheet - Polish f13614-c_pl--2016-10-00.pdf Yes No Fillable Printable
Form 13614-C (PT) Intake/Interview & Quality Review Sheet - (Portuguese) f13614-c_pt--2016-10-00.pdf Yes No Fillable Printable
Form 13614-C (KR) Intake/Interview & Quality Review Sheet - Korean f13614-c_kr--2016-10-00.pdf Yes No Fillable Printable
Form 13614-C (HT) Intake/Interview & Quality Review Sheet - Creole French f13614-c_ht--2016-10-00.pdf Yes No Fillable Printable
Form 13614-C (CN Simplified) Intake/Interview & Quality Review Sheet - Chinese (Simplified) f13614-c_cn-s--2016-10-00.pdf Yes No Fillable Printable
Form 13614-C Intake/Interview & Quality Review Sheet f13614-c--2016-10-00.pdf Yes No Fillable Printable
Form 13614-C (AR) Intake/Interview & Quality Review Sheet - Arabic f13614-c_ar--2016-10-00.pdf Yes No Fillable Printable

General Government Taxation Management

 

3,330,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,330,000 0 0 0 0 3,330,000
Annual IC Time Burden (Hours) 555,000 0 0 0 0 555,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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