I've just completed my first year of high-deductible medical insurance coupled with a health savings account (HSA). I like this relatively new option very much. However, it requires yet another form to be submitted to the Internal Revenue Service (IRS 8889). I printed this out yesterday. It seemed complete, but then one last page spit out with only this paperwork reduction notice -- nothing else on either side. Have you ever felt like crying and laughing at the same time? Anyways, I feel better now after processing this piece of paper with the IRS paperwork reduction notice. You can see where I put stuff like this -- a machine that makes a very satisfactory grinding noise, which saves me gnashing my teeth.