Distributions From an HSA, Archer MSA, or Medicare Advantage MSA

ICR 202409-1545-014

Forms and Documents

Document Name	Status
Form 1099-SA Form 1099-SA - Distributions From an HSA, Archer MSA, or Medicare Advantage MSA Form	Modified
SUP STAT 1545-1517-final.docx Supporting Statement A	2025-03-04

IC Document Collections

IC ID	Document Title	Status
18577	Form 1099-SA - Distributions From an HSA, Archer MSA, or Medicare Advantage MSA Form	Modified

ICR Details