Information Collection

Requirements of Continuation Coverage -- REG-209485-86 (NPRM)

IC 18807 under ICR 199712-1545-035 · OMB 1545-1581.

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Information Collection (IC) Details

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IC Title:	Requirements of Continuation Coverage -- REG-209485-86 (NPRM)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	26,400	26,400
Annual IC Time Burden (Hours)	440	440
Annual IC Cost Burden (Dollars)	0	0

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