Figure 4 Public Form Header and FooterFigure 4 displays the header and footer area of a non-tax public use form. In the header area from left to right are: “Form 13614-C” with “(October 2020)” below it, “Department of the Treasury - Internal Revenue Service” centered with the title “Intake/Interview & Quality Review Sheet” below it, and “OMB No. 1545-1984” in the upper right. In the bottom margin footer, “Catalog Number 52121E” is left justified, “” is centered and “Form 13614-C (Rev. 10-2020)” is right justified.