Establishing Creditable Coverage under Group Health Plans

OMB 1210-0103

OMB 1210-0103
Latest Forms, Documents, and Supporting Material
Document
Name
Supporting Statement A
All Historical Document Collections
Approved without change
 Extension without change of a currently approved collection 2012-12-27
Approved without change
 Extension without change of a currently approved collection 2009-12-01
Approved without change
 Extension without change of a currently approved collection 2006-10-16
Approved without change
 No material or nonsubstantive change to a currently approved collection 2004-12-30
Approved without change
 Extension without change of a currently approved collection 2003-06-27
Approved without change
 Extension without change of a currently approved collection 2000-03-30
Approved without change
 Extension without change of a currently approved collection 1998-01-02
Approved without change
 New collection (Request for a new OMB Control Number) 1997-04-08
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