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  3. OMB 1210-0105

OMB control number

Notice to Participants and Beneficiaries and the Federal Government of Electing One Percent Increased Cost Exemption

OMB 1210-0105 · DOL/EBSA.

OMB 1210-0105
Latest Forms, Documents, and Supporting Material
Document
Name
SSforonepercent2007-105.doc
Supporting Statement A
Notice to Participants and Beneficiaries and the Federal Government of Electing One Percent Increased Cost Exemption
Other-Interim Final Regulation Containing Model Notice
All Historical Document Collections
200711-1210-003
Approved without change
Extension without change of a currently approved collection 2007-12-04
200411-1210-001
Approved without change
Extension without change of a currently approved collection 2004-11-24
200108-1210-003
Approved without change
Extension without change of a currently approved collection 2001-08-31
199806-1210-003
Approved without change
Extension without change of a currently approved collection 1998-06-30
199712-1210-001
Approved without change
New collection (Request for a new OMB Control Number) 1997-12-22

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