Information Collection

Internal Revenue Service/social Security Administration, Health Care Financing Administration Datamatch Employer Reporting Project (section 6202 Of The Omnibus Budget

IC 113987 under ICR 199007-0938-001 · OMB 0938-0565.

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Information Collection (IC) Details

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IC Title:	INTERNAL REVENUE SERVICE/SOCIAL SECURITY ADMINISTRATION, HEALTH CARE FINANCING ADMINISTRATION DATAMATCH EMPLOYER REPORTING PROJECT (SECTION 6202 OF THE OMNIBUS BUDGET	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HCFA-R-137				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,100,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,100,000	1,100,000
Annual IC Time Burden (Hours)	3,483,333	3,483,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.