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###### Department of the Treasury

###### Internal Revenue Service

# AGENCY:

Internal Revenue Service (IRS), Treasury.

# ACTION:

Notice and request for comments.

# SUMMARY:

The Internal Revenue Service, as part of its continuing effort to reduce paperwork and respondent burden, invites the general public and other Federal agencies to take this opportunity to comment on continuing information collections, as required by the Paperwork Reduction Act of 1995. IRS is soliciting comments concerning the reporting and/or record-keeping requirements regarding The Health Coverage Tax Credit (HCTC) Reimbursement Request Form.

# DATES:

Written comments should be received on or before March 19, 2018 to be assured of consideration.

# ADDRESSES:

Direct all written comments to L. Brimmer, Internal Revenue Service, Room 6526, 1111 Constitution Avenue NW, Washington, DC 20224.

# FOR FURTHER INFORMATION CONTACT:

                        Please send separate comments for each specific information collection listed below. You must reference the information collection's title, form number, reporting or record-keeping requirement number, and OMB number (if any) in your comment. Requests for additional information, or copies of the information collection and instructions, or copies of any comments received, contact E. Christophe, at (202) 317-5745, at Internal Revenue Service, Room 6526, 1111 Constitution Avenue NW, Washington, DC 20224, or through the internet, at                         *Elaine.H.Christophe@irs.gov.*

# SUPPLEMENTARY INFORMATION:

*Title:*                     The Health Coverage Tax Credit (HCTC) Reimbursement Request Form.                

*OMB Number:*                     1545-2152.                

*Form Number:*                     Form 14095.                

*Abstract:*                     This form will be used by HCTC participants to request reimbursement for health plan premiums paid prior to the commencement of advance payments.                

*Current Actions:*                     There is no change in the paperwork burden previously approved by OMB.                

*Type of Review:*                     Extension of a currently approved collection.                

*Affected Public:*                     Individuals or households.                

*Estimated Number of Respondents:*                     3,058.                

*Estimated Time per Respondent:*                     40 minutes.                

*Estimated Total Annual Burden Hours:*                     2,039.                

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 our request for Office of Management and Budget (OMB) approval of the relevant information collection. All comments will become a matter of public record. Please do not include any confidential or inappropriate material in your comments.                

*We invite comments on:*                     (a) Whether the collection of information is necessary for the proper performance of the agency's functions, including                           ( print page 2728)                        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 respondents, including the use of automated collection techniques 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 the requested information.                

Approved: January 8, 2018.

T. Pinkston,

Supervisory, Tax Analyst.

[FR Doc. 2018-00726 Filed 1-17-18; 8:45 am]

 BILLING CODE 4830-01-P