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Federal forms, ICRs, and supporting documents

Information Collection

Health Savings Accounts (HSAs)

IC 19603 under ICR 200505-1545-016 · OMB 1545-1911.

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Information Collection (IC) Details

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Health Savings Accounts (HSAs)
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 8889 No No


    

1,400,000 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 2,100,000 0 0 0 0 2,100,000
Annual IC Time Burden (Hours) 3,234,000 0 0 0 0 3,234,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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