Information Collection

Health Coverage Tax Credit (HCTC) Advance Payments

IC 19427 under ICR 201608-1545-025 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Health Coverage Tax Credit (HCTC) Advance Payments Health Coverage Tax Credit (HCTC) Advance Payments	Form
Form 1099-H (2017 Draft Health coverage Tax Credit (HCTC) Advance Payments Health Coverage Tax Credit (HCTC) Advance Payments	Form
Instructions for 1099-H.pdf	Instruction
1099-H Health Coverage Tax Credit (HCTC) Advance Payments Form 1099-H.pdf	Form
1099-H (2017 Draft Health coverage Tax Credit (HCTC) Advance Payments 2017 draft 1099-H.pdf	Form
brdn_spec.pdf Burden Computation	IC Document
Notice 2004-47.pdf Notice 2004-47	IC Document
Notice 2005-50.pdf Notice 2005-50	IC Document
Notice 2016-2.pdf Notice 2016-2	IC Document
RP 2004-12.pdf RP 2004-12	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:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1099-H	Yes	Yes	Fillable Fileable
Instruction		Yes	No	Printable Only
Form	1099-H (2017 Drafts)	Yes	Yes	Fillable Fileable

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	49,000	-61,000	110,000
Annual IC Time Burden (Hours)	14,700	-18,300	33,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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

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