Information Collection

Continuation Coverage Requirements Applicable to Group Health Plans -- REG-209485-86 (Final)

IC 18808 under ICR 199901-1545-002 · OMB 1545-1581.

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Information Collection (IC) Details

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IC Title:	Continuation Coverage Requirements Applicable to Group Health Plans -- REG-209485-86 (Final)	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: 1,800,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	120,797,600	120,771,200	26,400
Annual IC Time Burden (Hours)	404,640	404,200	440
Annual IC Cost Burden (Dollars)	0	0	0

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