Information Collection

Health Coverage Tax Credit (HCTC) Advance Payments

IC 19427 under ICR 201307-1545-018 · OMB 1545-1813.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1813 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1099-H (2012) Health Coverage Tax Credit (HCTC) Advance Payments Health Coverage Tax Credit (HCTC) Advance Payments	Form
Form 1099-H (2013) Health coverage Tax Credit (HCTC) Advance Payments Health Coverage Tax Credit (HCTC) Advance Payments	Form
INST_1099-H_2012.pdf	Instruction
INST_1099-H_2013.pdf	Instruction
1099-H (2012) Health Coverage Tax Credit (HCTC) Advance Payments Form_1099-H_2012.pdf	Form
1099-H (2013) Health coverage Tax Credit (HCTC) Advance Payments Form_1099-H_2013.pdf	Form
brdn_spec.pdf Burden Computation	IC Document

IC Title:

Health Coverage Tax Credit (HCTC) Advance Payments

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 6103

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1099-H (2012)	Yes	Yes	Fillable Fileable
Instruction		Yes	No	Printable Only
Form	1099-H (2013)	Yes	Yes	Fillable Fileable
Instruction		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	110,000	110,000
Annual IC Time Burden (Hours)	33,000	33,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden Computation		07/23/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].