Proposed Collection; Comment Request for Form 8963
Agency: "
SUMMARY: The
DATES: Written comments should be received on or before
ADDRESSES: Direct all written comments to
FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of the form and instructions should be directed to
SUPPLEMENTARY INFORMATION: Title: Report of Health Insurance Provider Information.
OMB Number: 1545-2249.
Form Number: 8963.
Abstract: Form 8963 established under Section 9010 of the Patient Protection and Affordable Care Act (PPACA), and 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
Current Actions: There are no changes being made to this form at this time.
Type of Review: Extension of a currently approved collection.
Affected Public: Business and other for-profit organizations and Not-for-profit organizations.
Estimated Number of Respondents: 3,200.
Estimated Total Annual
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. Comments will be 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 has 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 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:
Tax Analyst.
Notice and request for comments.
Citation: "85 FR 51849"
Federal Register Page Number: "51849"
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