Health Coverage Tax Credit Registration Form

Health Coverage Tax Credit Registration Form

OMB: 1545-1842

IC ID: 19486

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Information Collection (IC) Details

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Health Coverage Tax Credit Registration Form
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 13441 No No


    

156,000 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 156,000 0 0 0 0 156,000
Annual IC Time Burden (Hours) 78,000 0 0 0 0 78,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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