Information Collection Request

Form 8941 - Tax Credit for Employee Health Insurance Expenses of Small Employers

ICR 202009-1545-008 · OMB 1545-2198 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1545-2198 SS 2020 (Form 8941).docx Supporting Statement A Uploaded 2020-11-30 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
195017 Credit for Small Employer Health Insurance Premiums Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 01/31/2021
181,000 3,046,964
2,036,250 34,278,346
0 0





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table that charts list of burden
IC Title Form No. Form Name
Credit for Small Employer Health Insurance Premiums 8941, 8941 Credit for Small Employer Health Insurance Premiums ,   Credit for Small Employer Health Insurance Premiums

table that charts list of burden
  Total Request 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 181,000 3,046,964 0 0 -2,865,964 0
Annual Time Burden (Hours) 2,036,250 34,278,346 0 0 -32,242,096 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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