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Annual Report for Multiple Employer Welfare Arrangements
ICR 202108-1210-003
OMB: 1210-0116
Federal Form Document
OMB.report
DOL/EBSA
OMB 1210-0116
ICR 202108-1210-003
( )
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1210-0116 can be found here:
2022-06-28 - Extension without change of a currently approved collection
Forms and Documents
Document
Name
Status
Form Form M-1 Annual Report for Multiple Employer Welfare Arrangements and Certain Entities Claiming Exception (Form M-1)
Form and Instruction
Modified
1210-0116 ss21 9-15-21.docx
Supporting Statement A
2021-09-15
IC Document Collections
IC ID
Document
Title
Status
13484
Annual Report for Multiple Employer Welfare Arrangements and Certain Entities Claiming Exception (Form M-1)
Form and Instruction
Modified
ICR Details
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