ICR Documents

Supporting Statement A Document Date Uploaded 1210-0101 HIPAA Enrollment Rights SS 4.28.26.docx 05/06/2026 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Model Notice of Special Enrollment Rights Model Special Enrollment Notice.docx Supplementary Document 05/06/2026 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Antoniadis, Domna Response to the Employee Benefits Security Administration (EBSA) Comment Request on Agency Information Collection Activities.msg Email Simple 03/07/2025 03/07/2025