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Federal forms, ICRs, and supporting documents

Information Collection

Gen IC: Health Coverage Tax Credit (HCTC) for Eligible Trade Adjustment Assistance (TAA), Alternative TAA (ATAA) and Reemployment TAA (RTAA) Recipients

IC 223861 under ICR 201601-1225-005 · OMB 1225-0086.

Documents and Forms
Document Name
Document Type
Other-UIPL Program Letter
Other-UIPL HCTC Attachment A
Other-UIPL HCTC Attachment B
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Gen IC: Health Coverage Tax Credit (HCTC) for Eligible Trade Adjustment Assistance (TAA), Alternative TAA (ATAA) and Reemployment TAA (RTAA) Recipients
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-UIPL Program Letter 1225-0086 UIPL_HCTC Final.doc Yes Yes Fillable Fileable
Other-UIPL HCTC Attachment A 1225-0086 UIPL_HCTC AttachmentA Final.doc Yes Yes Fillable Fileable
Other-UIPL HCTC Attachment B 1225-0086 UIPL_HCTC_AttachmentB Final.doc Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

54 0
   
State, Local, and Tribal Governments
 
   75 %

  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 54 0 54 0 0 0
Annual IC Time Burden (Hours) 1,080 0 1,080 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement: Health Coverage Tax Credit (HCTC) for Eligible Trade Adjustment Assistance (TAA), Alternative TAA (ATAA) and Reemployment TAA (RTAA) Recipients 1225-0086 HCTC UIPL Supplemental Support Statement.docx 10/07/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.