Long-Term Care and Accelerated Death Benefits

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1099-LTC Long-Term Care and Accelerated Death Benefits	Form	Modified	Available
Form 1099-LTC Form 1099-LTC - Long-Term Care and Accelerated Death Benefits.	Form	Modified	Repair queued
1545-1519 Supporting Statement.docx	Supporting Statement A	Uploaded 2022-07-06	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
18587	Form 1099-LTC - Long-Term Care and Accelerated Death Benefits.	Form	Modified	Long-Term Care and Accelerated Death Benefits
18587	Form 1099-LTC - Long-Term Care and Accelerated Death Benefits.	Form	Modified
18587	Form 1099-LTC - Long-Term Care and Accelerated Death Benefits.	Instruction	Modified

ICR Details

OMB Control No: 1545-1519	ICR Reference No: 202204-1545-009
Status: Historical Active	Previous ICR Reference No: 201809-1545-022
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Long-Term Care and Accelerated Death Benefits
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/19/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/29/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2025	36 Months From Approved	09/30/2022
Responses	410,600	0	377,467
Time Burden (Hours)	94,438	0	86,818
Cost Burden (Dollars)	0	0	0

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Abstract: Internal Revenue Code (IRC) sections 7702B and 101(g) respectively define situations under which benefits paid under a long-term health care insurance contract and accelerated death benefits paid under a life insurance policy may qualify for special tax treatment. IRC section 6050Q requires the payer to report all such benefit amounts paid during any calendar year, specifying whether or not the benefits were paid in whole or in part on a per diem or other periodic basis without regard to expenses. Benefit payers use Form 1099-LTC to report any long-term care or accelerated death benefits paid to an individual. Payers include insurance companies, governmental units, and viatical settlement providers.

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Authorizing Statute(s): US Code: 26 USC 6050Q Name of Law: Certain Long-Term Care Benefits
   US Code: 26 USC 101(g) Name of Law: Treatment Of Certain Accelerated Death Benefits
   US Code: 26 USC 7702B Name of Law: Treatment Of Qualified Long-Term Care Insurance
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 20517	04/07/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 45423	07/28/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Form 1099-LTC - Long-Term Care and Accelerated Death Benefits.	1099-LTC	Long-Term Care and Accelerated Death Benefits

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	410,600	377,467	0	0	33,133	0
Annual Time Burden (Hours)	94,438	86,818	0	0	7,620	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is no change in the paperwork burden previously approved by OMB. However, the estimated number of responses was updated based on current filing data. This increases the burden by 33,133 responses and 7,620 hours due to Agency Estimate.

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Annual Cost to Federal Government: $108,436

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/29/2022

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