Health Insurance Premium Tax Credit

OMB 1545-2232

This document covers regulations previously approved under 26 CFR 1.36B-5 which relate to the health insurance premium assistance credit enacted by the Patient Protection and Affordable Care Act (PPACA). The regulations provide guidance to individuals who claim the premium assistance credit and exchanges that make qualified health plans available to individuals and employers. The IRS developed Form 1095-A under the authority of ICR section 36B(f)(3) for individuals to compute the amount of premium tax credit and file an accurate tax return.

The latest form for Health Insurance Premium Tax Credit expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1095-A Form 1095-A- Health Insurance Marketplace Statement Form
2024 Supporting Statement 1545-2232.docx Supporting Statement A
Form 1095-A- Health Insurance Marketplace Statement Form

All Historical Document Collections

202408-1545-001	Extension without change of a currently approved collection	2024-08-27
202103-1545-015 Approved without change	Extension without change of a currently approved collection	2021-06-30
201711-1545-006 Approved without change	Revision of a currently approved collection	2017-12-27
201410-1545-025 Approved without change	Revision of a currently approved collection	2014-11-12
201305-1545-029 Approved with change	Revision of a currently approved collection	2013-05-30
201205-1545-019 Approved without change	Revision of a currently approved collection	2012-05-24
201106-1545-013 Preapproved	New collection (Request for a new OMB Control Number)	2012-05-14