View Information Collection (IC)

View Information Collection (IC)

Form 8941 - Credit for Small Employer Health Insurance Premiums
No Modified
Required to Obtain or Retain Benefits

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction i8941_IRSWEB_2011_OMB2198.pdf Yes No Printable Only
Other-Worksheets Worksheets for Form 8941.pdf Yes No Fillable Printable
Form 8941 Credit for Small Employer Health Insurance Premiums f8941_IRSWEB_2011_OMB2198.pdf Yes Yes Fillable Fileable

General Government Taxation Management


4,000,000 0
Private Sector Farms, Businesses or other for-profits, Not-for-profit institutions
   95 %

  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 3,046,964 0 0 0 0 3,046,964
Annual IC Time Burden (Hours) 40,189,456 0 0 0 0 40,189,456
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Burden for Form 8941 f8941_Burden_2011_OMB2198.pdf 04/17/2011
Burden for worksheets burden for worksheets of Form 8941.pdf 10/26/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.