Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HSA, Archer MSA, or Medicare Advantage MSA Information Modified 9167 1559 0 Form Form 5498-SA 2014 HSA, Archer MSA, or Medicare Advantage MSA Information
Form 5498-SA 2015 HSA, Archer MSA, or Medicare Advantage MSA Information
Instruction
Instruction
Total burden requested under this ICR: 9167 1559 0  
To view an IC, click on IC Title