T.D. 8812 Continuation Coverage Requirements Applicable to Group Health Plans

Continuation Coverage Requirements Applicable to Group Health Plans

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Documents and Forms

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Information Collection (IC) Details

IC Title:	T.D. 8812 Continuation Coverage Requirements Applicable to Group Health Plans	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 54.4980B–6 26 CFR 54.4980B–7 26 CFR 54.4980B–8

Information Collection Instruments:

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

Line of Business: General Government

Subfunction: Taxation Management

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	Previously Approved
Annual Number of Responses for this IC	12,079,600	12,079,600
Annual IC Time Burden (Hours)	404,640	404,640
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.