[Federal Register Volume 78, Number 225 (Thursday, November 21, 2013)]
[Notices]
[Page 69936]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-27893]


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DEPARTMENT OF THE TREASURY

Internal Revenue Service


Proposed Collection; Comment Request for Form 8963

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 8963, Report of Health Insurance Provider Information.

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: Report of Health Insurance Provider Information.
    OMB Number: 1545-2249.
    Form Number: Form 8963.
    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 any covered entity engaged in the business of providing 
health insurance related to United States health risks to annually 
report its net premiums written.
    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: 2,400.
    Estimated Time per Respondent: 7 hours 25 minutes.
    Estimated Total Annual Burden Hours: 17,808.
    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. Pursuant to ACA 
section 9010, as amended, the information on this form is not subject 
to section 6103. All information on this form is subject to public 
disclosure.
    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. 2013-27893 Filed 11-20-13; 8:45 am]
BILLING CODE 4830-01-P