Low Income Taxpayer Clinics (LITCs)
OMB Number
2012 Interim and Year-End Report
1545-1648
General Information
Name of clinic
Interim Report - January 1 through June 30
Year-End Report - January 1 through December 31
Reporting Period
ESL only
Controversy only
Both
Clinic Type
Outreach Activities
Note: Outreach activities are presentations designed to provide information about the clinic and its services directly to taxpayers or
indirectly through other organizations or groups that serve taxpayers.
1
A. Number of outreach activities conducted for ESL taxpayers
B. Number of outreach activities conducted for low income taxpayers (do not include activities reported on
line A above)
C. Number of outreach activities conducted for other organizations that serve ESL or low income taxpayers
(do not include activities reported on line A or B above)
D. Total outreach activities (add lines 1A through 1C)
Educational Activities
Note: Educational activities are events designed to provide information about tax rights and responsibilities, including technical tax
topics, to taxpayers.
2
A. Number of educational activities conducted for ESL taxpayers
B. Number of educational activities conducted for low income taxpayers (do not include activities reported
on line A above)
C. Number of educational activities conducted for other organizations that serve ESL or low income
taxpayers (do not include activities reported on line A or B above)
D. Total number of educational activities (add lines 2A through 2C)
3
A. For the educational activities reported on line 2A, enter the total number of attendees
B. For the educational activities reported on line 2B, enter the total number of attendees
C. For the educational activities reported on line 2C, enter the total number of attendees
D. Total number of attendees at educational activities (add lines 3A through 3C)
4
List the topics that were covered during the educational activities reported on line 2. Attach additional pages as necessary.
A.
H.
B.
I.
C.
J.
D.
K.
E.
L.
F.
M.
G.
N.
5
List the languages, other than English, in which educational activities were conducted
13424-A
Form
(Rev. 11-2011) Catalog Number 53040U
Department of the Treasury - Internal Revenue Service
For Paperwork Reduction Act Notice, see Publication 3319.