Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Notice Requirements of the Health Care Continuation Coverage Provisions Modified 26890373 490857 16403128 Other-COBRA Model General Notice
Other-COBRA Model Election Notice
Other-COBRA Model General Notice Spanish
Other-COBRA Model Election Notice Spanish
Total burden requested under this ICR: 26890373 490857 16403128  
To view an IC, click on IC Title