[Federal Register Volume 76, Number 63 (Friday, April 1, 2011)]
[Notices]
[Pages 18301-18302]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-7669]


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DEPARTMENT OF THE TREASURY

Internal Revenue Service


Proposed Collection; Comment Request for HCTC Program Forms

AGENCY: Internal Revenue Service (IRS), Treasury.

ACTION: Notice and request for comments.

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SUMMARY: The Department of the Treasury, 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 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 13865, Health Coverage Tax Credit (HCTC) Paper Check Request and 
Form 13929, Health Coverage Tax Credit (HCTC) Administrative Change 
Form.

DATES: Written comments should be received on or before May 31, 2011 to 
be assured of consideration.

ADDRESSES: Direct all written comments to Yvette Lawrence, Internal 
Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, 
DC 20224.

FOR FURTHER INFORMATION CONTACT: Requests for additional information or 
copies of the form and instructions should be directed to Ralph Terry, 
(202) 622-8144, at Internal Revenue Service, Room 6129, 1111 
Constitution Avenue NW., Washington, DC 20224, or through the Internet 
at [email protected].

SUPPLEMENTARY INFORMATION: 
    Title: Health Coverage Tax Credit (HCTC)--Paper Check Request, 
Health Coverage Tax Credit (HCTC)--Administrative Change Form.
    OMB Number: 1545-2118.
    Form Number: Form 13928, and Form 13865.
    Abstract: These forms are used to help manage the HCTC program. 
Health plan administrators will use these forms to submit requests of; 
changes to their account information, waivers from the Federal 
requirement that mandates all payments to be made via Electronic Funds 
Transfer (EFT), and to provide the required registration information 
into the HCTC program.
    Current Actions: There are changes in the paperwork burden 
previously approved by OMB and also being submitted for renewal.
    Type of Review: Extension of a currently approved collection.
    Affected Public: Businesses and other for-profit organizations, 
Farms.
    Estimated Number of Respondents: 700.
    Estimated Time per Respondent: 35 minutes.
    Estimated Total Annual Burden Hours: 410.
    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

[[Page 18302]]

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: March 25, 2011.
Yvette Lawrence,
IRS Reports Clearance Officer.
[FR Doc. 2011-7669 Filed 3-31-11; 8:45 am]
BILLING CODE 4830-01-P