View Information Collection (IC)

View Information Collection (IC)

COBRA Notification Requirements--American Recovery and Reinvestment Act of 2009 as amended by Department of Defense Appropriations Act, 2010
No Modified
29 CFR 2590.606(a)

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

Income Security General Retirement and Disability


2,700,000 0
Private Sector Businesses or other for-profits
   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

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.