Health Coverage Tax Credit Registration Update Form

Health Coverage Tax Credit Registration Update Form

OMB: 1545-1954

IC ID: 19678

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Health Coverage Tax Credit Registration Update Form ah-1954-015
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 13704 Monthly HCTC Registration Update Form 2011 13704.pdf Yes No Fillable Printable

General Government Taxation Management

 

2,200 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 2,000 0 0 0 0 2,000
Annual IC Time Burden (Hours) 1,100 0 0 0 0 1,100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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