Survey Questionnaire

ICR 200808-1545-021

OMB: 1545-1922

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2008-08-20
Supporting Statement A
2008-08-20
IC Document Collections
IC ID
Document
Title
Status
19625 Modified
ICR Details
1545-1922 200808-1545-021
Historical Inactive 200506-1545-037
TREAS/IRS ah-1922-021
Survey Questionnaire
Extension without change of a currently approved collection   No
Regular
Withdrawn and continue 01/15/2009
Retrieve Notice of Action (NOA) 08/29/2008
Information collection request is withdrawn so that it may be revised to conform to OMB guidelines on the collection of data on race and ethnicity. The request should be resubmitted prior to the expiration of OMB's approval.
  Inventory as of this Action Requested Previously Approved
08/31/2008 36 Months From Approved 01/31/2009
33,085 0 33,085
2,757 0 2,757
0 0 0

Form 12884 is used to collect statistical information regarding advertising sources and RNO data.

US Code: 26 USC 6103 Name of Law: Confidentiality and disclosure of returns and return information.
  
None

Not associated with rulemaking

  73 FR 32082 06/05/2008
73 FR 50667 08/27/2008
No

1
IC Title Form No. Form Name
Survey Questionnaire 12844 Survey Questionnaire

No
No

$2,950
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Laura McCarthy 9784745849

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/29/2008


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