Notice Requirements of the Health Care Continuation Coverage Provisions

ICR 202210-1210-001

OMB: 1210-0123

Federal Form Document

Forms and Documents

Document Name	Status
1210-0123 COBRA 12-14-2022.docx Supporting Statement A	2022-12-14

IC Document Collections

IC ID	Document Title	Status
13504	Notice Requirements of the Health Care Continuation Coverage Provisions Other-COBRA Model General Notice	Modified