View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1545-2152	ICR Reference No: 200908-1545-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: TREAS/IRS	Agency Tracking No: Need approval by 8/13 - ARRA request
Title: The Health Coverage Tax Credit (HCTC) Reimbursement Request Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 08/13/2009
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/11/2009
	Date Received in OIRA: 08/10/2009
Terms of Clearance: This collection is approved with the following terms of clearance: This collection is approved as an emergency clearance to meet ARRA requirements. This collection will be valid for six months. If the agency decides to continue to use this collection past the approved emergency request clearance time period, it must resubmit to OMB under the normal PRA review process for a three year approval.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2010	6 Months From Approved
Responses	3,058	0	0
Time Burden (Hours)	2,039	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to New Statute
Annual Number of Responses	3,058	3,058
Annual Time Burden (Hours)	2,039	2,039
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: As part of the ARRA changes relating to the Health Coverage Improvement, Section 1899B authorizes that retroactive payments be made to eligibile individuals for months occuring prior to the first month for which and advance payment is made on behalf of the eligibile individual. The effect of these changes to the Health Coverage Improvement results in an increase in responses by 3,058 and a total burden increase of 2,039 hours.

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