Long-Term Care and Accelerated Death Benefit

ICR 199612-1545-015

OMB: 1545-1519

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
18583 Migrated
ICR Details
1545-1519 199612-1545-015
Historical Active
TREAS/IRS
Long-Term Care and Accelerated Death Benefit
New collection (Request for a new OMB Control Number)   No
Emergency 12/20/1996
Approved without change 12/18/1996
Retrieve Notice of Action (NOA) 12/18/1996
The agency is not required to display the expiration date.
  Inventory as of this Action Requested Previously Approved
06/30/1997 06/30/1997
25,000 0 0
4,750 0 0
0 0 0

Under the terms of IRC sections 7720B and 101g, qualified long-term care and accelerated death benefits paid to chronically ill individuals are treated as amounts received for expenses incurred for medical care. Amounts received on a per diem basis in excess of $175 per day are taxable. Section 6050q requires all such amounts to be reported.

None
None


No

1
IC Title Form No. Form Name
Long-Term Care and Accelerated Death Benefit 1099-LTC

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 25,000 0 0 25,000 0 0
Annual Time Burden (Hours) 4,750 0 0 4,750 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/18/1996


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