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Federal forms, ICRs, and supporting documents

Information Collection

Form 1099-SA - Distributions From an HSA, Archer MSA, or Medicare Advantage MSA

IC 18577 under ICR 202409-1545-014 · OMB 1545-1517.

Documents and Forms
Document Name
Document Type
Form
Instruction
Instruction
Instruction
Instruction
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Form 1099-SA - Distributions From an HSA, Archer MSA, or Medicare Advantage MSA
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1099-SA Distributions From an HSA, Archer MSA or Medical Advantage MSA f1099-sa--2024-11-00.pdf Yes Yes Fillable Fileable
Instruction i1099-sa_and_5498-sa--2025-00-00_draft.pdf Yes No Printable Only
Instruction i1099-general--2025-00-00.pdf Yes No Printable Only

General Government Taxation Management

Treasury/IRS 22.061–Information Return Master File (IRMF); Treasury/IRS 24.030-Customer Account Data Engine Master File; and IRS 34.037–IRS Audit Trail and Security Records System  83 FR 42980

10,500 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 20,392,600 0 0 20,366,761 0 25,839
Annual IC Time Burden (Hours) 3,738,643 0 0 3,735,025 0 3,618
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.