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Model Employer CHIP Notice (State, Local, Tribal Governmental Burden)
ICR 202508-1210-003 · OMB 1210-0137 · Object 161750100.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Model Employer CHIP Notice (State, Local, Tribal Governmental Burden) |
| Author | Mulhall, Tamara - EBSA |
| File Created | 2026-01-14 |
| Conversion State | partial |