Form 8941 - Credit for Small Employer Health Insurance Premiums

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 8941 Credit for Small Employer Health Insurance Premiums	Form	Modified	Available
Form 8941 Credit for Small Employer Health Insurance Premiums	Form	Modified	Repair queued
SUP STAT (Form 8941)-1545-2198 (Clean version).docx	Supporting Statement A	Uploaded 2024-02-22	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
195017	Credit for Small Employer Health Insurance Premiums	Form	Modified	Credit for Small Employer Health Insurance Premiums
195017	Credit for Small Employer Health Insurance Premiums	Form	Modified
195017	Credit for Small Employer Health Insurance Premiums	Instruction	Modified

ICR Details

OMB Control No: 1545-2198	ICR Reference No: 202401-1545-008
Status: Active	Previous ICR Reference No: 202009-1545-008
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Form 8941 - Credit for Small Employer Health Insurance Premiums
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: 04/15/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/29/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2027	36 Months From Approved	04/30/2024
Responses	315	0	181,000
Time Burden (Hours)	3,544	0	2,036,250
Cost Burden (Dollars)	0	0	0

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Abstract: Section 45R of the Internal Revenue Code (Code) offers a tax credit to certain small employers that provide insured health coverage to their employees. Section 45R was added to the Code by section 1421 of the Patient Protection and Affordable Care Act, enacted March 23, 2010, Public Law No. 111–148 (as amended by section 10105(e) of the Patient Protection and Affordable Care Act, which was amended by the Health Care and Education Reconciliation Act of 2010, Public Law 111–152 (124 Stat. 1029)) (collectively, the ''Affordable Care Act''). Eligible small employers use Form 8941 to figure the credit for small employer health insurance premiums for tax years.

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Authorizing Statute(s): US Code: 26 USC 45R Name of Law: Employee health insurance expenses of small employers
  

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:
	88 FR 83620	11/30/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 14738	02/29/2024
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
Credit for Small Employer Health Insurance Premiums	8941	Credit for Small Employer Health Insurance Premiums

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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	315	181,000	0	0	-180,685	0
Annual Time Burden (Hours)	3,544	2,036,250	0	0	-2,032,706	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: IRS is submitting this collection for renewal purposes. There are no changes to the form that affect the burden. There is a burden change due to removing the tax-exempt organization burden from 1545-2198, as it has been added to the OMB Control Number 1545-0047. This reduces the burden by 2,032,706 hours due to Agency Estimate.

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Annual Cost to Federal Government: $125,354

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.     No

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.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

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: 02/29/2024

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