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Notice Requirements of the Health Care Continuation Coverage Provisions
Notice Requirements of the Health Care Continuation Coverage Provisions
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Notice Requirements of the Health Care Continuation Coverage Provisions
OMB: 1210-0123
OMB.report
DOL/EBSA
OMB 1210-0123
ICR 201304-1210-012
IC 13504
Notice Requirements of the Health Care Continuation Coverage Provisions
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1210-0123 can be found here:
2022-12-20 - Extension without change of a currently approved collection
2020-04-29 - No material or nonsubstantive change to a currently approved collection
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Author
Butikofer, James - EBSA
File Modified
0000-00-00
File Created
2021-01-29
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