View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Form 1095-B, Health Coverage
 
No Modified
 
Mandatory
 
26 CFR 1.6055-2 26 CFR 1.6055-1

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1095-B Yes No Fillable Fileable
Instruction Yes No Printable Only

General Government Taxation Management

; IRS 24.030- Individual Master File, IRS 24.046-Customer Account Data Engine Business Master File, and IRS 34.037- Audit Trail and Security Records System  80 FR 54064

285,000 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 211,470,000 0 0 86,470,000 0 125,000,000
Annual IC Time Burden (Hours) 3,524,500 0 0 1,441,167 0 2,083,333
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
REG 132455-11 Reporting of Minimum Essential Coverage 10/20/2017
TD 9660 10/20/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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