[Federal Register Volume 69, Number 163 (Tuesday, August 24, 2004)]
[Notices]
[Pages 52065-52066]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-19353]


-----------------------------------------------------------------------

DEPARTMENT OF THE TREASURY

Internal Revenue Service


Proposed Collection; Comment Request for Forms 13560 and 13561

AGENCY: Internal Revenue Service (IRS), Treasury.

ACTION:  Notice and request for comments.

-----------------------------------------------------------------------

SUMMARY: The Department of the Treasury, as part of its continuing 
effort to reduce paperwork and respondent

[[Page 52066]]

burden, invites the general public and other Federal agencies to take 
this opportunity to comment on proposed and/or continuing information 
collections, as required by the Paperwork Reduction Act of 1995, Public 
Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting 
comments concerning Form 13560, HCTC Health Plan Administrator (HPA) 
Return of Funds Form, and Form HCTC Health Plan Administrators 
Operations Guide.

DATES: Written comments should be received on or before October 25, 
2004 to be assured of consideration.

ADDRESSES: Direct all written comments to Paul H. Finger, Internal 
Revenue Service, room 6411, 1111 Constitution Avenue, NW., Washington, 
DC 20224.

FOR FURTHER INFORMATION CONTACT: Requests for additional information or 
copies of the forms should be directed to Carol Savage at Internal 
Revenue Service, room 6407, 1111 Constitution Avenue NW., Washington, 
DC 20224, or at (202) 622-3945, or through the internet at 
[email protected].

SUPPLEMENTARY INFORMATION:
    Title: Form 13560, HCTC Health Plan Administrator (HPA) Return of 
Funds Form, and Form 13561, HCTC Health Plan Administrators Operations 
Guide.
    OMB Number: 1545-1891.
    Forms Number: Forms 13560 and 13561.
    Abstract: Form 13560 is completed by Health Plan Administrator 
(HPAs) and accompanies a return of funds in order to ensure proper 
handling. This form serves as supporting documentation for any funds 
returned by an HPA and clarifies where the payment should be applied 
and why it is being sent. Form 13561 will be provided in the HCTC 
(Health Coverage Tax Credit) Health Plan Administrator Operations 
Guide. Form 13561 is an evaluation form intended to gather feedback 
from HPAs on the quality of the HCTC HPA Registration and Operations 
Guides.
    Current Actions: There are no changes being made to the forms at 
this time.
    Type of Review: Extension of a currently approved collection.
    Affected Public: Business or other for-profit organizations.
    Estimated Number of Respondents: 200.
    Estimated Time Per Respondent: 15 minutes.
    Estimated Total Annual Burden Hours: 50.
    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 the request for OMB approval. All 
comments will become a matter of public record. Comments are invited 
on: (a) Whether the collection of information is necessary for the 
proper performance of the functions of the agency; including whether 
the information shall have 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 through 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 information.

    Approved: August 18, 2004.
Paul H. Finger,
IRS Reports Clearance Officer.
[FR Doc. 04-19353 Filed 8-23-04; 8:45 am]
BILLING CODE 4830-01-M