Model Creditable Coverage Disclosure Notices

OMB 0938-0990

OMB 0938-0990
Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Supplementary Document
Supporting Statement A
All Historical Document Collections
Approved without change
 Revision of a currently approved collection 2008-10-29
Approved without change
 No material or nonsubstantive change to a currently approved collection 2008-05-06
Approved with change
 Revision of a currently approved collection 2006-10-18
Approved without change
 New collection (Request for a new OMB Control Number) 2006-03-03
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