Document

Model Employer CHIP Notice (State, Local, Tribal Governmental Burden)

ICR 201406-1210-002 · OMB 1210-0137 · Object 48002001.

Document Viewer [doc]

Status: No verified local artifact is currently available. The document remains flagged for repair and upstream re-check.

Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-07-22 12:24:53)

Missing: pdf, html

No local or Spaces-backed artifact is available yet for this document.

Primary: htmlSource: application/octet-stream
Loading document viewer…

Document Metadata

Record metadata
application/octet-stream
Model Employer CHIP Notice (State, Local, Tribal Governmental Burden)
Tamara A. Mihailovic
Mulhall, Tamara - EBSA
2014-05-22
2014-05-22
failed_conversion