Form 4913 - Taxpayer Education Statistical Report
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1
2Stakeholder Partnerships, Education, and Communication Activity Report
(See instructions on reverse)
02. Territory/Office Name
01. SPEC Employee Name & SEID
03. Office Location Code
Date of Activity
-
DIRECT CONTACTS ONLY
Program Activity:
Enter Information Specified by Instructions on Back
Number of Volunteers
Number of Taxpayers
Number of
Program
Assisting Direct
Reached
Sessions
Activities
04. Compliance Outreach
05. EITC Outreach
06. E-Services Outreach
07. All Other Outreach
08. Totals
09. Description of Activity and how the targeted audience was determined.
10. To be completed by the IRS Territory Office Only:
Date Input
Input By / (Name & SEID)
4913
Form
(Rev. 3-2006)
Cat. No. 42103M
Department of the Treasury – Internal Revenue Service
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