Form 1099-H, Health Coverage Tax Credit (HCTC) Advance Payments

ICR 201307-1545-018

OMB: 1545-1813

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2013-07-17
Supplementary Document
2010-05-13
IC Document Collections
IC ID
Document
Title
Status
19427 Modified
ICR Details
1545-1813 201307-1545-018
Historical Active 201005-1545-030
TREAS/IRS mb
Form 1099-H, Health Coverage Tax Credit (HCTC) Advance Payments
Extension without change of a currently approved collection   No
Regular
Approved without change 09/11/2013
Retrieve Notice of Action (NOA) 07/30/2013
  Inventory as of this Action Requested Previously Approved
09/30/2016 36 Months From Approved 09/30/2013
110,000 0 110,000
33,000 0 33,000
0 0 0

Form 1099-H is used to report advance payments of health insurance premiums to qualified recipients for their use in computing the allowable health insurance credit on Form 8885.

US Code: 26 USC 6050T Name of Law: Returns relating to credit for health insurance costs of eligible individuals
  
None

Not associated with rulemaking

  78 FR 8225 02/05/2013
78 FR 45602 07/29/2013
No

1
IC Title Form No. Form Name
Health Coverage Tax Credit (HCTC) Advance Payments 1099-H (2012), 1099-H (2013) Health Coverage Tax Credit (HCTC) Advance Payments ,   Health coverage Tax Credit (HCTC) Advance Payments

  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 110,000 110,000 0 0 0 0
Annual Time Burden (Hours) 33,000 33,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$5,500
No
No
No
No
No
Uncollected
Bill Haddad 2022832527

  No

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.
07/30/2013


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