Information Collection Request
HSA, Archer MSA, or Medicare Advantage MSA Information
ICR 202501-1545-001 · OMB 1545-1518 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information |
Form | Modified | Repair queued |
 2024 Supporting Statement (1545-1518)-final.docx |
Supporting Statement A | Uploaded 2025-03-12 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 18582 |  HSA, Archer MSA, or Medicare Advantage MSA Information |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | TREAS/IRS |
| OMB Control No | 1545-1518 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202108-1545-009 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |