OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Request to the Department of Labor for Expedited Review of Denial of COBRA Premium Reduction

OMB 1210-0135 ยท DOL/EBSA.

OMB 1210-0135

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Form 301 Additional Information Request to Plan AdministratorForm and Instruction
Form Form 300 Request to the Department of Labor for Expedited Review of Denial of COBRA Premium ReductionForm and Instruction
Expedited_Review_of_Denial_of_Claims_ss12[1].docxSupporting Statement A
Additional Information Request to Plan Administrator Form and Instruction
Request to the Department of Labor for Expedited Review of Denial of COBRA Premium Reduction Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201210-1210-002 Extension without change of a currently approved collection 2012-11-27 Approved without change
201004-1210-006 No material or nonsubstantive change to a currently approved collection 2010-04-21 Approved without change
201003-1210-001 No material or nonsubstantive change to a currently approved collection 2010-03-16 Approved without change
201001-1210-003 No material or nonsubstantive change to a currently approved collection 2010-01-20 Approved without change
200909-1210-003 Extension without change of a currently approved collection 2009-09-24 Approved without change
200903-1210-002 New collection (Request for a new OMB Control Number) 2009-04-29 Approved without change