Credit for Small Employer Health Insurance Premiums

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

OMB: 1545-2198

IC ID: 195017

Information Collection (IC) Details

View Information Collection (IC)

Credit for Small Employer Health Insurance Premiums
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 8941 Credit for Small Employer Health Insurance Premiums f8941--2019-00-00.pdf Yes Yes Fillable Fileable
Instruction i8941--2019-00-00.pdf Yes No Printable Only
Form 8941 Credit for Small Employer Health Insurance Premiums wrn_20f8941_20200402151410.pdf Yes Yes Fillable Fileable
Instruction circ_21i8941_20200723192500.pdf Yes No Printable Only

General Government Taxation Management

 

181,000 181,000
   
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
 
   95 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 181,000 0 0 -2,865,964 0 3,046,964
Annual IC Time Burden (Hours) 2,036,250 0 0 -32,242,096 0 34,278,346
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
REG-113792-13 REG-113792-13.pdf 09/16/2020
Notice 2010-44 Notice 2010-44.pdf 09/16/2020
Notice 2010-82 Notice 2010-82.pdf 09/16/2020
TD 9672 TD 9672.pdf 09/16/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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