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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Notice of Availability of Separate Payments for Contraceptive Services
Modified
297653
34
80872
Other-Model
Confirmation Eligibility for the Individual Contraceptive Agreement
Modified
31600
2633
0
Other-Model
Notice of Revocation of Accommodation
New
1
0
0
Self-Certification or Notification
Modified
2
2
1
Other-Model Notice
Form
EBSA Form 700
Eligible Organization Self-Certification
Total burden requested under this ICR:
329256
2669
80873
To view an IC, click on IC Title
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The .gov means it's official.
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