REG-120476-07, Employer Comparable Contributions to Health Savings Accounts and Requirement of a Return for filing of the excise taxes under sections 4980B, 4980D, 4980E and 4980G.
ICR 200903-1545-021
OMB: 1545-2146
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1545-2146 can be found here:
REG-120476-07, Employer
Comparable Contributions to Health Savings Accounts and Requirement
of a Return for filing of the excise taxes under sections 4980B,
4980D, 4980E and 4980G.
New
collection (Request for a new OMB Control Number)
Pre-approval
contingent upon no substantive changes to this collection after
adoption of the final rule. Otherwise this collection should be
re-submitted to OMB for review.
Inventory as of this Action
Requested
Previously Approved
05/31/2012
36 Months From Approved
5,000
0
0
2,500
0
0
0
0
0
The information results from the
requirement to file a return for the payment of the excise taxes
under section 4980B, 4980D, 4980E, and 4980G of the code.
US Code:
26
USC 4980D Name of Law: Failure to meet certain group health
plan requirements.
US Code: 26
USC 4980B Name of Law: Failure to satisfy continuation coverage
requirements of group health plans.
US Code: 26
USC 4980E Name of Law: Failure of employer to make comparable
Archer MSA contributions.
US Code: 26
USC 4980G Name of Law: Failure of employer to make comparable
health savings account contributions.
PL: Pub.L. 111 - 5 705 Name of Law: The
American Recovery and Reinvestment Act
This document contains final
regulations providing guidance on employer comparable contributions
to Health Savings Accounts (HSAs) under section 4980G of the
Internal Revenue Code (Code) as amended by sections 302, 305 and
306 of the Tax Relief and Health Care Act of 2006 (the Act). The
final regulations also provide guidance relating to the manner and
method of reporting and paying the excise tax under sections 4980B,
4980D, 4980E, and 4980G of the Code. The American Recovery and
Reinvestment Act (PL 111-5), provides for a premium reduction for
COBRA continuation coverage elected by certain individuals as the
result of an involuntary termination of employment. These final
regulations provide a method and manner for the payment and
reporting of the excise tax and also serve as a catalyst for the
creation of a new form (Form 8928) that will be used for payment of
the section 4980B excise tax (as well as other excise taxes under
chapter 43). The total estimated burden is 2,500 hours.
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.
REG-120476-07, Employer Comparable Contributions to Health Savings Accounts and Requirement of a Return for filing of the excise taxes under sections 4980B, 4980D, 4980E and 4980G.