Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
COBRA Notification Requirements--American Recovery and Reinvestment Act of 2009 Modified 22877000 0 16112734 Other- ARRA Model COBRA Initial Election Notice
Other-ARRA Model COBRA Supplemental Notice for Current Enrolles
Other-ARRA Model COBRA Second Election Notice
Other-ARRA Model COBRA Notice for Non-ERISA Plans
Notice Requirements of the Health Care Continuation Coverage Provisions Unchanged 15237957 0 18387739 Other-Final Rule
Total burden requested under this ICR: 38114957 0 34500473  
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