Computation Of Excess Hospital Insurance Benefits Tax Credit

COMPUTATION OF EXCESS HOSPITAL INSURANCE BENEFITS TAX CREDIT

OMB: 1545-0171

IC ID: 129045

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COMPUTATION OF EXCESS HOSPITAL INSURANCE BENEFITS TAX CREDIT
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 4469 No No


    

300,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 300,000 0 301,017 -2,017 0 1,000
Annual IC Time Burden (Hours) 99,900 0 99,567 -667 0 1,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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