Information Collection

Health Coverage Tax Credit (HCTC) Advance Payments

IC 19427 under ICR 202301-1545-034 · OMB 1545-1813.

Documents and Forms

Document Name Document Type
Form 1099-H Health Coverage Tax Credit (HCTC) Advance Payments Form
i1099-h--2020-12-00.pdf Instruction
i1099-h--2020-12-00.pdf Instruction
2022 General Instructions for Certain Information Returns.pdf Other-General Instructions
2022 General Instructions for Certain Information Returns.pdf Other-General Instructions
1099-H Health Coverage Tax Credit (HCTC) Advance Payments f1099-h--2022-01-00.pdf Form
1099-H Health Coverage Tax Credit (HCTC) Advance Payments f1099-h--2022-01-00.pdf Form
2023-1099H-Burden-2023-01-10 11-37-24.pdf Burden Computation IC Document
2023-1099H-Burden-2023-01-10 11-37-24.pdf Burden Computation IC Document
Notice 2004-47.pdf Notice 2004-47 IC Document
Notice 2004-47.pdf Notice 2004-47 IC Document
Notice 2005-50.pdf Notice 2005-50 IC Document
Notice 2005-50.pdf Notice 2005-50 IC Document
Notice 2016-2.pdf Notice 2016-2 IC Document
Notice 2016-2.pdf Notice 2016-2 IC Document

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:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1099-H	Health Coverage Tax Credit (HCTC) Advance Payments	f1099-h--2022-01-00.pdf	Yes	Yes	Fillable Fileable
Instruction			i1099-h--2020-12-00.pdf	Yes	No	Printable Only
Other-General Instructions			2022 General Instructions for Certain Information Returns.pdf	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,200	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,200	-46,800	49,000
Annual IC Time Burden (Hours)	660	-14,040	14,700
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.