Information Collection

Health Coverage Tax Credit (HCTC) Advance Payments

IC 19427 under ICR 200701-1545-038 · OMB 1545-1813.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1813 can be found here:

Documents and Forms

Document Name Document Type
Form 1099-H Health Coverage Tax Credit (HCTC) Advance Payments Form
Form 1099-H instru.pdf Instruction
1099-H Health Coverage Tax Credit (HCTC) Advance Payments Form 1099-H.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Health Coverage Tax Credit (HCTC) Advance Payments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 6103

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1099-H	Health Coverage Tax Credit (HCTC) Advance Payments	Form 1099-H.pdf		Yes	Yes	Fillable Fileable
Instruction			Form 1099-H instru.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	110,000	110,000
Annual IC Time Burden (Hours)	33,000	33,000
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.