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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. The IRS is soliciting comments concerning the health insurance marketplace statement.

# DATES:

Written comments should be received on or before December 26, 2017 to be assured of consideration.

# ADDRESSES:

Direct all written comments to L. Brimmer, Internal Revenue Service, Room 6529, 1111 Constitution Avenue NW., Washington, DC 20224.

# FOR FURTHER INFORMATION CONTACT:

                         Requests for additional information or copies of the form should be directed to Kerry Dennis, at (202) 317-5751 or Internal Revenue Service, Room 6529, 1111 Constitution Avenue NW., Washington, DC 20224, or through the internet, at                         *Kerry.Dennis@irs.gov.*

# SUPPLEMENTARY INFORMATION:

*Title:*                     Health Insurance Marketplace Statement.                

*OMB Number:*                     1545-2232.                

*Regulation Project Number:*                     Form 1095-A.                

*Abstract:*                     The IRS developed Form 1095-A under the authority of ICR section 36B(f)(3) for individuals to compute the amount of premium tax credit to which they are entitled under the Patient Protection and Affordable Care Act, Public Law 111-148, as amended, and file an accurate tax return. Marketplaces also must report certain information monthly to the IRS about individuals who receive from the Marketplace a certificate of exemption from the individual shared responsibility provision.                

*Current Actions:*                     There is no change to this existing regulation. However, the agency has updated the number of respondents to reflect the most recent data available.                

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

*Affected Public:*                     State, local, or tribal government.                

*Estimated Number of Respondents:*                     3,250,000.                

*Estimated Time per Respondent:*.3 minutes.                

*Estimated Total Annual Burden Hours:*                     16,250.                

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 the request for OMB approval. All comments will become a matter of public record. Comments are invited on: (a) Whether the collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have 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 through 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 information.                

Approved: October 18, 2017.

L. Brimmer,

Senior Tax Analyst.

[FR Doc. 2017-23083 Filed 10-23-17; 8:45 am]

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