[Federal Register Volume 83, Number 12 (Thursday, January 18, 2018)]
[Notices]
[Pages 2727-2728]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-00726]
-----------------------------------------------------------------------
DEPARTMENT OF THE TREASURY
Internal Revenue Service
Proposed Information Collection; Comment Request for Regulation
Project
AGENCY: Internal Revenue Service (IRS), Treasury.
ACTION: Notice and request for comments.
-----------------------------------------------------------------------
SUMMARY: The Internal Revenue Service, as part of its continuing effort
to reduce paperwork and respondent burden, invites the general public
and other Federal agencies to take this opportunity to comment on
continuing information collections, as required by the Paperwork
Reduction Act of 1995. IRS is soliciting comments concerning the
reporting and/or record-keeping requirements regarding The Health
Coverage Tax Credit (HCTC) Reimbursement Request Form.
DATES: Written comments should be received on or before March 19, 2018
to be assured of consideration.
ADDRESSES: Direct all written comments to L. Brimmer, Internal Revenue
Service, Room 6526, 1111 Constitution Avenue NW, Washington, DC 20224.
FOR FURTHER INFORMATION CONTACT: Please send separate comments for each
specific information collection listed below. You must reference the
information collection's title, form number, reporting or record-
keeping requirement number, and OMB number (if any) in your comment.
Requests for additional information, or copies of the information
collection and instructions, or copies of any comments received,
contact E. Christophe, at (202) 317-5745, at Internal Revenue Service,
Room 6526, 1111 Constitution Avenue NW, Washington, DC 20224, or
through the internet, at [email protected].
SUPPLEMENTARY INFORMATION:
Title: The Health Coverage Tax Credit (HCTC) Reimbursement Request
Form.
OMB Number: 1545-2152.
Form Number: Form 14095.
Abstract: This form will be used by HCTC participants to request
reimbursement for health plan premiums paid prior to the commencement
of advance payments.
Current Actions: There is no change in the paperwork burden
previously approved by OMB.
Type of Review: Extension of a currently approved collection.
Affected Public: Individuals or households.
Estimated Number of Respondents: 3,058.
Estimated Time per Respondent: 40 minutes.
Estimated Total Annual Burden Hours: 2,039.
The following paragraph applies to all of the collections of
information covered by this notice:
An agency may not conduct or sponsor, and a person is not required
to respond to, a collection of information unless the collection of
information displays a valid OMB control number. Books or records
relating to a collection of information must be retained as long as
their contents may become material in the administration of any
internal revenue law. Generally, tax returns and tax return information
are confidential, as required by 26 U.S.C. 6103.
Request for Comments: Comments submitted in response to this notice
will be summarized and/or included in our request for Office of
Management and Budget (OMB) approval of the relevant information
collection. All comments will become a matter of public record. Please
do not include any confidential or inappropriate material in your
comments.
We invite comments on: (a) Whether the collection of information is
necessary for the proper performance of the agency's functions,
including
[[Page 2728]]
whether the information has practical utility; (b) the accuracy of the
agency's estimate of the burden of the collection of information; (c)
ways to enhance the quality, utility, and clarity of the information to
be collected; (d) ways to minimize the burden of the collection of
information on respondents, including the use of automated collection
techniques or other forms of information technology; and (e) estimates
of capital or start-up costs and costs of operation, maintenance, and
purchase of services to provide the requested information.
Approved: January 8, 2018.
T. Pinkston,
Supervisory, Tax Analyst.
[FR Doc. 2018-00726 Filed 1-17-18; 8:45 am]
BILLING CODE 4830-01-P