Information Collection

Long-Term Care Premiums Paid Statement

IC 279861 under ICR 202604-1545-010 · OMB unassigned.

Documents and Forms

Document Name Document Type
Form Form 1099-LPS Long-Term Care Premiums Paid Statement Long-Term Care Premiums Paid Statement Form and Instruction
Form 1099-LPS Long-Term Care Premiums Paid Statement Draft Form 1099-LPS (December 2026).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Long-Term Care Premiums Paid Statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form 1099-LPS	Long-Term Care Premiums Paid Statement	Draft Form 1099-LPS (December 2026).pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: 22.061 IRMF 24.030 IMF 24.046 BMF 34.037 Audit Trail and Security Records System	FR Citation: 83 FR 42980

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Program Change Due to New Statute
Annual Number of Responses for this IC	7,500	7,500
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.

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