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Model Employer CHIP Notice (Private Sector Burden)

ICR 202508-1210-003 · OMB 1210-0137 · Object 161604200.

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Document Metadata
File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleModel Employer CHIP Notice (Private Sector Burden)
AuthorMulhall, Tamara - EBSA
File Created2026-01-14
Conversion Statepartial