Information Collection

Health Coverage Tax Credit (HCTC) Monthly Registration and Update

IC 41159 under ICR 201906-1545-011 · OMB 1545-1842.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1842 can be found here:

Documents and Forms

Document Name Document Type
Form 13441-A Health Coverage Tax Credit (HCTC) Monthly Registration and Update Form and Instruction
13441-A Health Coverage Tax Credit (HCTC) Monthly Registration a f13441-a--2018-05-00.pdf www.irs.gov/hctc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Health Coverage Tax Credit (HCTC) Monthly Registration and Update	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	13441-A	Health Coverage Tax Credit (HCTC) Monthly Registration and Update	f13441-a--2018-05-00.pdf	www.irs.gov/hctc	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 24.030-CADE Individual Master File	FR Citation: 83 FR 42980

Number of Respondents: 5,146	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,146	3,346	1,800
Annual IC Time Burden (Hours)	2,573	1,673	900
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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