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

Forms and Documents

Document Name	Status
Form 1099-H (2017 Draft Health Coverage Tax Credit (HCTC) Advance Payments Form	Modified
Supporting Statement.doc Supporting Statement A	2016-08-19
Expiration Explanation.rtf Supplementary Document	2010-05-13

IC Document Collections

IC ID	Document Title	Status
19427	Health Coverage Tax Credit (HCTC) Advance Payments Form	Modified

ICR Details

OMB Control No: 1545-1813	ICR Reference No: 201608-1545-025
Status: Historical Active	Previous ICR Reference No: 201307-1545-018
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Health Coverage Tax Credit (HCTC) Advance Payments (Form 1099-H)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/02/2017
	Date Received in OIRA: 09/23/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	36 Months From Approved	12/31/2016
Responses	49,000	0	110,000
Time Burden (Hours)	14,700	0	33,000
Cost Burden (Dollars)	0	0	0

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Abstract: Section 6050T requires that if you are a provider of qualified health insurance coverage (defined in section 35(e)) and you receive advance payments from the Department of the Treasury on behalf of eligible recipients pursuant to section 7527, you must file Forms 1099-H to report those advance payments. You must also furnish a statement reporting that information to the eligible recipient.

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Authorizing Statute(s): US Code: 26 USC 6050T Name of Law: Returns relating to credit for health insurance costs of eligible individuals
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 37667	06/10/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 64980	09/21/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Health Coverage Tax Credit (HCTC) Advance Payments	1099-H , 1099-H (2017 Drafts)	Health coverage Tax Credit (HCTC) Advance Payments ,   Health Coverage Tax Credit (HCTC) Advance Payments

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ICR Summary of Burden

	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	49,000	110,000	0	0	-61,000	0
Annual Time Burden (Hours)	14,700	33,000	0	0	-18,300	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is no change in the time per filer burden previously approved by OMB. However, the estimated number of responses is being decreased by 61,000 as a result of updated filing estimates.

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Annual Cost to Federal Government: $5,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/23/2016

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