Information Collection

Health Coverage Tax Credit (HCTC) Advance Payments

IC 19427 under ICR 202301-1545-034 · OMB 1545-1813.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1099-H Health Coverage Tax Credit (HCTC) Advance Payments	Form
Form 1099-H Health Coverage Tax Credit (HCTC) Advance Payments Health Coverage Tax Credit (HCTC) Advance Payments	Form
i1099-h--2020-12-00.pdf	Instruction
i1099-h--2020-12-00.pdf	Instruction
2022 General Instructions for Certain Information Returns.pdf	Other-General Instructions
2022 General Instructions for Certain Information Returns.pdf	Other-General Instructions
1099-H Health Coverage Tax Credit (HCTC) Advance Payments f1099-h--2022-01-00.pdf	Form
1099-H Health Coverage Tax Credit (HCTC) Advance Payments f1099-h--2022-01-00.pdf	Form
2023-1099H-Burden-2023-01-10 11-37-24.pdf Burden Computation	IC Document
2023-1099H-Burden-2023-01-10 11-37-24.pdf Burden Computation	IC Document
Notice 2004-47.pdf Notice 2004-47	IC Document
Notice 2004-47.pdf Notice 2004-47	IC Document
Notice 2005-50.pdf Notice 2005-50	IC Document
Notice 2005-50.pdf Notice 2005-50	IC Document
Notice 2016-2.pdf Notice 2016-2	IC Document
Notice 2016-2.pdf Notice 2016-2	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1099-H	Yes	Yes	Fillable Fileable
Instruction		Yes	No	Printable Only
Other-General Instructions		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,200	-46,800	49,000
Annual IC Time Burden (Hours)	660	-14,040	14,700
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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

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