Proposed Collection; Comment Request for the Health Coverage Tax Credit Reimbursement Request Form, 68042 [2021-25976]
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68042
Federal Register / Vol. 86, No. 227 / Tuesday, November 30, 2021 / Notices
• Average Time per Response: 10
minutes.
• Total Estimated Burden Time: 7,849
hours.
• Frequency: Information is requested
only when an applicant submits the
form to obtain a benefit.
• Obligation to Respond: Required to
Obtain or Retain a Benefit.
We are soliciting public comments to
permit the Department to:
• Evaluate whether the proposed
information collection is necessary for
the proper functions of the Department.
• Evaluate the accuracy of our
estimate of the time and cost burden for
this proposed collection, including the
validity of the methodology and
assumptions used.
• Enhance the quality, utility, and
clarity of the information to be
collected.
• Minimize the reporting burden on
those who are to respond, including the
use of automated collection techniques
or other forms of information
technology.
Please note that comments submitted
in response to this Notice are public
record. Before including any detailed
personal information, you should be
aware that your comments as submitted,
including your personal information,
will be available for public review.
Abstract of Proposed Collection
The form created by this information
collection (DS–4194) will be used to
request authentications services from
the Authentications Office of the U.S.
Department of State in the United
States. In accordance with 22 CFR part
131, the Office of Authentications
provides authentication services for
federal public documents that will be
used overseas. These services support
individuals, commercial organizations,
institutions, and federal and state
government agencies seeking to use
certain documents abroad.
Methodology
lotter on DSK11XQN23PROD with NOTICES1
The form will be downloaded from
https://eforms.state.gov. After
completion, the form may be submitted
by mail or hand-delivery.
Kevin E. Bryant,
Deputy Director, Office of Directives
Management, Department of State.
[FR Doc. 2021–26008 Filed 11–29–21; 8:45 am]
BILLING CODE 4710–06–P
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18:17 Nov 29, 2021
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DEPARTMENT OF THE TREASURY
Internal Revenue Service
Proposed Collection; Comment
Request for the Health Coverage Tax
Credit Reimbursement Request Form
Internal Revenue Service (IRS),
Treasury.
ACTION: Notice and request for
comments.
AGENCY:
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.
The IRS is soliciting comments
concerning the health coverage tax
credit reimbursement request form.
DATES: Written comments should be
received on or before January 31, 2022
to be assured of consideration.
ADDRESSES: Direct all written comments
to Andres Garcia, Internal Revenue
Service, room 6526, 1111 Constitution
Avenue NW, Washington, DC 20224.
FOR FURTHER INFORMATION CONTACT:
Requests for additional information or
copies of the form should be directed to
Kerry Dennis at (202) 317–5751, or at
Internal Revenue Service, Room 6526,
1111 Constitution Avenue NW,
Washington DC 20224, or through the
internet, at Kerry.Dennis@irs.gov.
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 are no changes
to the form at this time, however the
agency has updated the number of
responses based on most recent filing
data. There has been an estimated
increase of 358 responses, resulting in
an overall hourly burden increase of 239
hours (2039 to 2278).
Type of Review: Revision of a
currently approved collection.
Affected Public: Individuals or
households.
Estimated Number of Respondents:
3,416.
Estimated Time per Respondent: 40
minutes.
Estimated Total Annual Burden
Hours: 2,278 hours.
The following paragraph applies to all
the collections of information covered
by this notice.
SUMMARY:
PO 00000
Frm 00144
Fmt 4703
Sfmt 4703
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 if 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 23, 2021.
Kerry L. Dennis,
Tax Analyst.
[FR Doc. 2021–25976 Filed 11–29–21; 8:45 am]
BILLING CODE 4830–01–P
DEPARTMENT OF THE TREASURY
Agency Information Collection
Activities; Proposed Collection;
Comment Request; CARES Act Air
Carrier Loan and Payroll Support
Program
Departmental Offices, U.S.
Department of the Treasury.
ACTION: Notice.
AGENCY:
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 comment on
the proposed information collections
listed below, in accordance with the
Paperwork Reduction Act of 1995.
DATES: Written comments must be
received on or before January 31, 2022.
ADDRESSES: Send comments regarding
the burden estimate, or any other aspect
of the information collection, including
SUMMARY:
E:\FR\FM\30NON1.SGM
30NON1
]]>Agencies
[Federal Register Volume 86, Number 227 (Tuesday, November 30, 2021)]
[Notices]
[Page 68042]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-25976]
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DEPARTMENT OF THE TREASURY
Internal Revenue Service
Proposed Collection; Comment Request for the Health Coverage Tax
Credit Reimbursement Request Form
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. The IRS is soliciting comments concerning the
health coverage tax credit reimbursement request form.
DATES: Written comments should be received on or before January 31,
2022 to be assured of consideration.
ADDRESSES: Direct all written comments to Andres Garcia, Internal
Revenue Service, room 6526, 1111 Constitution Avenue NW, Washington, DC
20224.
FOR FURTHER INFORMATION CONTACT: Requests for additional information or
copies of the form should be directed to Kerry Dennis at (202) 317-
5751, or 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 are no changes to the form at this time,
however the agency has updated the number of responses based on most
recent filing data. There has been an estimated increase of 358
responses, resulting in an overall hourly burden increase of 239 hours
(2039 to 2278).
Type of Review: Revision of a currently approved collection.
Affected Public: Individuals or households.
Estimated Number of Respondents: 3,416.
Estimated Time per Respondent: 40 minutes.
Estimated Total Annual Burden Hours: 2,278 hours.
The following paragraph applies to all 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 if 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 23, 2021.
Kerry L. Dennis,
Tax Analyst.
[FR Doc. 2021-25976 Filed 11-29-21; 8:45 am]
BILLING CODE 4830-01-P
