Information Collection Request

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 200912-1545-019 · OMB 1545-2146 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
HSA Hope - Supporting Statement for PRA.doc Supporting Statement A Uploaded 2009-03-23 Available

ICR Details

Reginfo record details
table that charts list comparision
  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





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
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.

table that charts list of burden
  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 5,000 0 5,000 0 0 0
Annual Time Burden (Hours) 2,500 0 2,500 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No