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View ICR - OIRA Conclusion

OMB Control No: 1210-0123	ICR Reference No: 202508-1210-007
Status: Active	Previous ICR Reference No: 202210-1210-001
Agency/Subagency: DOL/EBSA	Agency Tracking No:
Title: Notice Requirements of the Health Care Continuation Coverage Provisions
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/23/2026
	Date Received in OIRA: 01/12/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2029	36 Months From Approved	07/31/2026
Responses	24,351,126	0	26,890,373
Time Burden (Hours)	524,890	0	490,857
Cost Burden (Dollars)	19,237,389	0	16,403,128

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	24,351,126	26,890,373	-2,539,247
Annual Time Burden (Hours)	524,890	490,857	34,033
Annual Cost Burden (Dollars)	19,237,389	16,403,128	2,834,261

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There are no program changes for this submission. The increases in the cost burden estimates are due to a decrease in the number of individuals in COBRA eligible plans, labor cost inflation, and increased postage costs resulting from inflation. As a result, the number of responses has decreased 2,539,247 responses, the hour burden has increased by 34,033 hours, and the cost burden has increased by $2,834,261. While the decline in responses is a result of fewer general notices being sent, the hour and cost burdens have increased due to an increase in the number of termination notices and plan administrator election notices, as well as an increase in the cost of postage to mail the notices.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: James Butikofer 202 693-8434 Butikofer.James@dol.gov

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