Federal Free Printable Form 13424-C (Rev. 4-2016) for 2017 Federal Low Income Taxpayer Clinic (LITC) Advocacy Information

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Low Income Taxpayer Clinic (LITC) Advocacy Information
Form 13424-C (Rev. 4-2016)

Department of the Treasury - Internal Revenue Service Form 13424-C OMB Number 1545-1648 Low Income Taxpayer Clinic (LITC) Advocacy Information Report (April 2016) Name of clinic Grant year Part I. Systemic Advocacy Submissions Complete this section to list systemic issues related to low income or ESL taxpayers submitted during the reporting period to the Systemic Advocacy Management System (SAMS) https://www.irs.gov/Advocate/Systemic-Advocacy-Management-System-SAMS Issue number Submitter Date submitted Submitter Date submitted Submitter Date submitted Brief description of the issue Issue number Brief description of the issue Issue number Brief description of the issue Part II. Published Materials Complete this section to list written materials published during the reporting period to educate low income or ESL taxpayers about tax issues or to bring awareness to the public about the LITC program or tax issues that affect low income or ESL taxpayers. Format Book Law review Magazine Newspaper Website Other Author's name Date published Title of article Publication or website Brief description of the article Format Book Law review Magazine Newspaper Website Other Author's name Date published Title of article Publication or website Brief description of the article Format Book Law review Magazine Newspaper Website Other Author's name Date published Title of article Publication or website Brief description of the article Catalog Number 54942J For Paperwork Reduction Act Notice, see Publication 3319. www.irs.gov Form 13424-C (Rev. 4-2016) Page 2 Part III. Television and Radio Appearances Complete this section to list television and radio appearances made during the reporting period to educate low income or ESL taxpayers about tax issues or to bring awareness to the public about the LITC program or tax issues that affect low income or ESL taxpayers. Airing dates of segment Number of potential listeners or viewers Discussion topic Presenter Brief description of the topic Airing dates of segment Number of potential listeners or viewers Discussion topic Presenter Brief description of the topic Airing dates of segment Number of potential listeners or viewers Discussion topic Presenter Brief description of the topic Part IV. Public Service Announcements Complete this section to list public service announcements aired during the reporting period to educate low income or ESL taxpayers about tax issues or to bring awareness to the public about the LITC program or tax issues that affect low income or ESL taxpayers. Number of times segment aired Number of potential listeners or viewers Discussion topic Presenter Brief description of the topic Number of times segment aired Number of potential listeners or viewers Discussion topic Presenter Brief description of the topic Number of times segment aired Number of potential listeners or viewers Discussion topic Presenter Brief description of the topic Catalog Number 54942J www.irs.gov Form 13424-C (Rev. 4-2016) Page 3 Instructions for Form 13424-C, Low Income Taxpayer Clinic (LITC) Advocacy Information Report Note: Interim and Year-End Reports, including this form (Form 13424-C), may be released under the Freedom of Information Act (FOIA). In response to a FOIA request, the LITC Program Office will release these reports after appropriate redactions to ensure confidentiality of taxpayer information. Purpose This form is used to report information about certain advocacy work the clinic performed during the reporting period. This form is used to report all systemic advocacy issues submitted, written materials published, television and radio appearances made, and public service announcements aired during the reporting period. The Program Office uses the information reported on this form and the other reporting forms to determine the scope of services provided by clinics. Data is also aggregated to provide program-wide statistical information about services provided to low income and English as a Second Language (ESL) taxpayers. Please be careful to follow the instructions for this form and to report all information completely and accurately. If additional room is necessary to provide details about the activities reported on this form, include such details in the program narrative. Reporting Requirements All clinics must complete this form. See Publication 3319 for additional information. Reporting Period Clinics are required to report on LITC activities twice for each grant year. The grant year is January 1 through December 31 for the year in which a grant award is received. An Interim Report is required to report activities conducted for the period from January 1 through June 30; a Year-End Report is required to report activities conducted for the entire grant year, the period from January 1 through December 31. Check the appropriate box at the beginning of the form indicating for which period the report is being completed. Note: For purposes of this Form 13424-C, clinics are not required to repeat information included in the Interim Report on the Year-End Report. Report advocacy work performed between January 1 and June 30 on the Interim Report, and report advocacy work performed between July 1 and December 31 on the Year-End Report. Specific Instructions Systemic Advocacy Submissions Report in this section all systemic issues that relate to low income or ESL taxpayers that were submitted to the Systemic Advocacy Management System (SAMS) during the reporting period. Include the SAMS issue number, the name of the individual who made the submission, the date of each submission, and a brief description of the issue described in the submission. The SAMS site is available at www.irs.gov/uac/Systemic-Advocacy-Management-System (SAMS). Published Materials Report in this section all written materials published during the reporting period to educate low income or ESL taxpayers or to bring awareness to the public about the LITC program or tax issues that affect low income or ESL taxpayers. Include the posting of educational materials to a website or the distribution of educational materials via social media. Check the appropriate box to indicate the format of the publication. If the publication was released in multiple formats (i.e., in a magazine and on a website) check one box and list the other formats in the Program Narrative on Form 13424-N, line 2.ix. Include the author’s name, the publication date, the title of the publication or website, the title of the work, and a brief description of the work. Television and Radio Appearances Report in this section all television and radio appearances produced by or featuring clinic staff and broadcast during the reporting period to educate low income or ESL taxpayers or to bring awareness to the public about the LITC program or tax issues that affect low income or ESL taxpayers. If the broadcast was released in multiple formats or on multiple channels, list the other formats in the Program Narrative on Form 13424-N, line 2.ix. Include the airing dates of each segment, a reasonable estimate of the number of listeners or viewers, the topic of the discussion or on-air piece, the names of any clinic representatives involved in the appearances, and a brief description of the topic discussed on-air. Public Service Announcements Report all public service announcements produced by or featuring clinic staff and broadcast during the reporting period written to educate low income or ESL taxpayers or to bring awareness to the public about the LITC program or tax issues that affect low income or ESL taxpayers. Include the number of times each segment aired, a reasonable estimate of the number of listeners or viewers, the topic of the discussion or on-air piece, the names of any clinic representatives involved in the appearances, and a brief description of the topic discussed on-air. Catalog Number 54942J www.irs.gov Form 13424-C (Rev. 4-2016)
Extracted from PDF file 2016-federal-form-13424-c.pdf, last modified April 2016

More about the Federal Form 13424-C Other TY 2016

We last updated the Low Income Taxpayer Clinic (LITC) Advocacy Information in May 2017, so this is the latest version of Form 13424-C, fully updated for tax year 2016. You can download or print current or past-year PDFs of Form 13424-C directly from TaxFormFinder. You can print other Federal tax forms here.

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Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 13424-C from the Internal Revenue Service in May 2017.

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Historical Past-Year Versions of Federal Form 13424-C

We have a total of four past-year versions of Form 13424-C in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Form 13424-C

Form 13424-C (Rev. 4-2016)

Low Income Taxpayer Clinic (LITC) Advocacy Information 2015 Form 13424-C

Form 13424-C (Rev. 5-2013)

Low Income Taxpayer Clinic (LITC) Advocacy Information 2012 Form 13424-C

Form 13424-C (Rev. 4-2012)

Low Income Taxpayer Clinics (LITCs) Advocacy Information 2011 Form 13424-C

Form 13424-C (Rev. 11-2011)


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