Information Collection Request

Notice Requirements of the Health Care Continuation Coverage Provisions

ICR 200912-1210-002 · OMB 1210-0123 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Note to Reviewer of 1210-0123ARRA.doc Supplementary Document Uploaded 2009-12-24 Available
SSCOBRA09arraamend.doc Supporting Statement A Uploaded 2009-12-24 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
188172 COBRA Notification Requirements--American Recovery and Reinvestment Act of 2009 as amended by Department of Defense Appropriations Act, 2010 Other-Updated Model General Notice Modified
13504 Notice Requirements of the Health Care Continuation Coverage Provisions Other-Final Rule Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2010 6 Months From Approved 11/30/2012
23,737,957 0 38,114,957
0 0 0
25,187,739 0 34,500,473





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 23,737,957 38,114,957 0 0 -14,377,000 0
Annual Time Burden (Hours) 0 0 0 0 0 0
Annual Cost Burden (Dollars) 25,187,739 34,500,473 0 0 -9,312,734 0


Reginfo record details
  No