Information Collection

Form 1099-LTC - Long-Term Care and Accelerated Death Benefits.

IC 18587 under ICR 201809-1545-022 · OMB 1545-1519.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1519 can be found here:

Documents and Forms

Document Name Document Type
Form 1099 LTC Form 1099-LTC - Long-Term Care and Accelerated Death Benefits. Form
i1099-general--2018-00-00.pdf Instruction
i1099-ltc--2018.pdf Instruction
1099 LTC Long-Term Care and Accelerated Death Benefits f1099-ltc--2018-.pdf Form
1099-LTC (draft) Long-Term Care and Accelerated Death Benefits f1099-ltc--2019-draft.pdf Form
2018-1099LTC-Burden-2018-07-25 09-36-13.pdf Burden Calculation IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 1099-LTC - Long-Term Care and Accelerated Death Benefits.	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 6050

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1099 LTC	Long-Term Care and Accelerated Death Benefits	f1099-ltc--2018-.pdf	Yes	Yes	Fillable Fileable
Form	1099-LTC (draft)	Long-Term Care and Accelerated Death Benefits	f1099-ltc--2019-draft.pdf	Yes	No	Fillable Printable
Instruction			i1099-general--2018-00-00.pdf	Yes	No	Printable Only
Instruction			i1099-ltc--2018.pdf	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: Treasury/IRS 22.061âInformation Return Master File (IRMF); Treasury/IRS 24.030-Customer Account Data Engine Master File; and IRS 34.037âIRS Audit Trail and Security Records System	FR Citation: 80 FR 54064

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	377,467	84,967	292,500
Annual IC Time Burden (Hours)	86,818	19,543	67,275
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Burden Calculation	2018-1099LTC-Burden-2018-07-25 09-36-13.pdf	09/26/2018

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