[Federal Register Volume 78, Number 225 (Thursday, November 21, 2013)]
[Notices]
[Page 69938]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-27892]



[[Page 69938]]

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DEPARTMENT OF THE TREASURY

Internal Revenue Service


Proposed Collection; Comment Request for Form 8453-R

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 8453-R, Declaration and Signature for Electronic Filing of Forms 
8947 and 8963.

DATES: Written comments should be received on or before January 21, 
2014 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 R. Joseph 
Durbala, (202) 622-3634, at Internal Revenue Service, Room 6129, 1111 
Constitution Avenue NW., Washington, DC 20224, or through the internet 
at [email protected].

SUPPLEMENTARY INFORMATION: 
    Title: Declaration and Signature for Electronic Filing of Forms 
8947 and 8963.
    OMB Number: 1545-xxxx.
    Form Number: Form 8453-R.
    Abstract: This is a new form established under Section 9010 of the 
Patient Protection and Affordable Care Act (PPACA), Public Law 111-148 
(124 Stat. 119 (2010)), as amended by section 10905 of PPACA, and as 
further amended by section 1406 of the Health Care and Education 
Reconciliation Act of 2010, Public Law 111-152 (124 Stat. 1029 (2010)), 
which requires that any covered entity engaged in the business of 
providing health insurance related to United States health risks must 
annually report its net premiums written. The purpose of the form is to 
authenticate the electronic filing of Form 8947, Report of Branded 
Prescription Drug Information and Form 8963, Report of Health Insurance 
Provider Information.
    Current Actions: This is a new form. This form is being submitted 
for OMB approval.
    Type of Review: New form.
    Affected Public: Businesses and other for-profit organizations and 
not-for-profit organizations.
    Estimated Number of Respondents: 2,550.
    Estimated Time per Respondent: 1 hour 37 minutes.
    Estimated Total Annual Burden Hours: 4,131.
    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: November 14, 2013.
Yvette Lawrence,
IRS Reports Clearance Officer.
[FR Doc. 2013-27892 Filed 11-20-13; 8:45 am]
BILLING CODE 4830-01-P