OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Health Coverage Tax Credit (HCTC)

IC 185015 under ICR 200805-1545-017 · OMB 1545-2118.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form
Information Collection (IC) Details

View Information Collection (IC)

Health Coverage Tax Credit (HCTC)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 13562 Health Coverage Tax Credit (HCTC) General Registration Information Form 13562.pdf Yes No Fillable Printable
Form and Instruction 13929 Health Coverage Tax Credit (HCTC) Paper Check Request 13929.pdf Yes No Fillable Printable
Form HCTC Health Coverage Tax Credit (HCTC) Administrative Changes Form HCTC Admin Chg Form.pdf Yes No Fillable Printable

General Government Taxation Management

 

700 0
   
Private Sector Businesses or other for-profits
 
   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 700 0 700 0 0 0
Annual IC Time Burden (Hours) 875 0 875 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.