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Notice to Employee of Pending Cancellation of Health Benefits (Federal)

IC 187079 under ICR 202306-1235-001 · OMB 1235-0003.

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Notice to Employee of Pending Cancellation of Health Benefits (Federal)
 
No Unchanged
 
Mandatory
 
29 CFR 825.212(a)

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

Workforce Management Labor Rights Management

 

46 0
   
Federal Government
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 46 0 0 0 0 46
Annual IC Time Burden (Hours) 4 0 0 0 0 4
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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