Proposed Collection; Comment Request for the Health Coverage Tax Credit Reimbursement Request Form, 68042 [2021-25976]

Download as PDF 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 http://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 VerDate Sep<11>2014 18:17 Nov 29, 2021 Jkt 256001 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.

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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