Summary of Medical Savings Accounts

ICR 199703-1545-002

OMB: 1545-1508

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
18541 Migrated
ICR Details
1545-1508 199703-1545-002
Historical Active 199612-1545-002
TREAS/IRS
Summary of Medical Savings Accounts
Extension without change of a currently approved collection   No
Regular
Approved without change 05/02/1997
Retrieve Notice of Action (NOA) 03/04/1997
It is OMB's expectation that, if the numberical limits specified in HIPAA section 220(j) are met before the expiration date, IRS will request that this form be withdrawn from its inventory. The agency is not required to display the expiration date.
  Inventory as of this Action Requested Previously Approved
08/31/1999 08/31/1999 06/30/1997
400,000 0 400,000
1,540,000 0 1,540,000
0 0 0

This form will be used by the IRS to determine whether numerical limits set forth in section 220(j)(1) have been exceeded.

None
None


No

1
IC Title Form No. Form Name
Summary of Medical Savings Accounts FORM-8851

  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 400,000 400,000 0 0 0 0
Annual Time Burden (Hours) 1,540,000 1,540,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
03/04/1997


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