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FAQs About COBRA Model Notices
FAQs ABOUT COBRA MODEL NOTICES Clean.docx
Notice Requirements of the Health Care Continuation Coverage Provisions
FAQs About COBRA Model Notices
OMB: 1210-0123
OMB.report
DOL/EBSA
OMB 1210-0123
ICR 202210-1210-001
IC 13504
FAQs About COBRA Model Notices
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1210-0123 can be found here:
2026-01-12 - Extension without change of a currently approved collection
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