Revenue Procedure 2004-12, Health Insurance Costs of Eligible Individuals

Revenue Procedure 2004-12, Health Insurance Costs of Eligible Individuals

OMB: 1545-1875

IC ID: 19545

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Revenue Procedure 2004-12, Health Insurance Costs of Eligible Individuals
 
No Unchanged
 
Voluntary
 
26 CFR 6103

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

General Government Taxation Management

 

51 0
   
State, Local, and Tribal Governments
 
   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 51 0 0 0 0 51
Annual IC Time Burden (Hours) 26 0 0 0 0 26
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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