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COBRA Continuation Coverage: Premium Assistance
OMB 1210-0167
OMB.report
DOL/EBSA
OMB 1210-0167
OMB 1210-0167
Latest Forms, Documents, and Supporting Material
Document
Name
1210-0NEW- SS_COBRA Premium Assistance 4.6.21.docx
Supporting Statement A
COBRA Emergency Clearance Memo to OMB 3-1-2021.docx
Supplementary Document
COBRA Notices
Other-Alternative COBRA subsidy notice
All Historical Document Collections
202103-1210-002
Approved with change
New collection (Request for a new OMB Control Number)
2021-04-06
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