National Medical Support Notice-Part B

OMB 1210-0113

Section 609 of ERISA and 29 CFR 2590.609-2 establish a National Medical Support Notice. Part B of which is used to implement coverage of children under ERISA covered group health plans pursuant to "Qualified Medical Child Support Orders."

The latest form for National Medical Support Notice-Part B expires 2022-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
1210-0113 NMSN SS 9-14-22 FINAL.docx Supporting Statement A
NMSN Part B Comment Spreadsheet and Responses 9.8.22.docx Supplementary Document
National Medical Support Notice - Part B Other-National Medical Support Notice and Addendum

All Historical Document Collections

202204-1210-005 Approved with change	Revision of a currently approved collection	2022-09-26
202102-1210-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-02-11
202009-1210-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-09-23
202002-1210-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-02-10
201907-1210-001 Approved without change	Extension without change of a currently approved collection	2019-08-27
201603-1210-004 Approved without change	Extension without change of a currently approved collection	2016-03-31
201209-1210-001 Approved with change	Extension without change of a currently approved collection	2012-10-11
200906-1210-004 Approved without change	Revision of a currently approved collection	2009-09-04
200604-1210-002 Approved without change	Extension without change of a currently approved collection	2006-04-04
200302-1210-003 Approved without change	Extension without change of a currently approved collection	2003-02-24
199911-1210-003 Approved without change	New collection (Request for a new OMB Control Number)	1999-11-09