View Information Collection (IC)

View Information Collection (IC)

Notice to Employee of Pending Cancellation of Health Benefits (State, local, tribal)
No New
29 CFR 825.212(a)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Workforce Management Labor Rights Management


37,000 35,244
State, Local, and Tribal Governments
   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 37,000 7,473 0 29,527 0 0
Annual IC Time Burden (Hours) 3,083 623 0 2,460 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.