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Form 301 Request for Assistance from Department of Labor, EBSA (E
Request for Assistance from the Department of Labor, Employee Benefits Security Administration
Request for Assistance Paper Option (English)
Customer Service Intake Form
OMB: 1210-0146
OMB.report
DOL/EBSA
OMB 1210-0146
ICR 201708-1210-002
IC 198333
Form 301 Request for Assistance from Department of Labor, EBSA (E
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1210-0146 can be found here:
2024-09-10 - No material or nonsubstantive change to a currently approved collection
2024-02-23 - Extension without change of a currently approved collection
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2014-09-16
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