OMB control number

Health Coverage Tax Credit (HCTC) Monthly Registration and Update

OMB 1545-1842 · TREAS/IRS.

OMB 1545-1842

Form 13441-A, Health Coverage Tax Credit (HCTC) Monthly Registration and Update Form will be directly mailed to all individuals who are potentially eligible for the HCTC. Potentially eligible individuals will use this form to determine if they are eligible for the Health Coverage Tax Credit and to register for the HCTC program. Participation in this program is voluntary. This form will be submitted by the individual to the HCTC program office in a postage-paid, return envelope. We will accept faxed forms, if necessary. Additionally, recipients may call the HCTC call center for help in completing this form.

The latest form for Health Coverage Tax Credit (HCTC) Monthly Registration and Update expires 2022-10-31 and is listed under ICR 201906-1545-011.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 13441-A Health Coverage Tax Credit (HCTC) Monthly Registration and Update	Form and Instruction
2022 Supporting Statement 1545-1842-lvd.docx (document unavailable)	Supporting Statement A
Health Coverage Tax Credit (HCTC) Monthly Registration and Update	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202209-1545-004	Extension without change of a currently approved collection	2022-10-28	Approved without change
201906-1545-011	Revision of a currently approved collection	2019-08-29	Approved without change
201604-1545-005	Extension without change of a currently approved collection	2016-04-29	Approved without change
201302-1545-019	Extension without change of a currently approved collection	2013-02-28	Approved without change
201004-1545-001	No material or nonsubstantive change to a currently approved collection	2010-05-13	Approved without change
200909-1545-001	Extension without change of a currently approved collection	2009-11-17	Approved without change
200608-1545-074	Extension without change of a currently approved collection	2006-09-12	Approved without change
200505-1545-033	No material or nonsubstantive change to a currently approved collection	2005-05-27	Approved without change
200309-1545-014	Extension without change of a currently approved collection	2003-09-08	Approved without change
200308-1545-040	No material or nonsubstantive change to a currently approved collection	2003-08-27	Approved without change
200305-1545-055	No material or nonsubstantive change to a currently approved collection	2003-05-23	Approved without change
200305-1545-014	New collection (Request for a new OMB Control Number)	2003-05-12	Approved without change

OMB Details

Health Coverage Tax Credit (HCTC) Monthly Registration and Update

Federal Enterprise Architecture: General Government - Taxation Management

Information collection instruments
Form	Name	Electronic access	Type
Form 13441-A	Health Coverage Tax Credit (HCTC) Monthly Registration and Update	www.irs.gov/hctc	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.