OMB control number
Form 14116 - HCTC - Family Member Eligibility Form
OMB 1545-2163 ยท TREAS/IRS.
OMB 1545-2163
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 14116 Form 14116 - HCTC - Family Member Eligibility Form | Form |
| 1545-2163_SS_SEP2013.pdf | Supporting Statement A |
 Form 14116 - HCTC - Family Member Eligibility Form |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201308-1545-034 | Extension without change of a currently approved collection | 2013-09-30 | Approved without change | |
| 201006-1545-023 | Extension without change of a currently approved collection | 2010-06-25 | Approved without change | |
| 200911-1545-005 | New collection (Request for a new OMB Control Number) | 2009-11-06 | Approved without change |