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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
COBRA Notification Requirements--American Recovery and Reinvestment Act of 2009 as amended by Department of Defense Appropriations Act, 2010
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
29 CFR 2590.606(a)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Updated Model General Notice
Updated Model General Notice - full version 12 23 09 final.doc
Yes
No
Printable Only
Other-Updated Model Alternative Notice
Updated Model Alternative Notice 12 23 09 final.doc
Yes
No
Printable Only
Other-Model Premium Extension Notice
Model Premium Assistance Extension Notice 12 23 09 final.doc
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,700,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
8,500,000
0
0
-14,377,000
0
22,877,000
Annual IC Time Burden (Hours)
0
0
0
0
0
0
Annual IC Cost Burden (Dollars)
6,800,000
0
0
-9,312,734
0
16,112,734
Documents for IC
Title
Document
Date Uploaded
ARRA Extension Draft Federal Register Notice
ARRA extension model FR notice 12 23 09 final.doc
12/24/2009
ARRA Emergency Federal Register Notice
COBRAEmergencyFRN2010.doc
12/24/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.