OMB control number
Affordable Care Act Enrollment Opportunity Notice Relating to Extension of Dependent Coverage
OMB 1210-0139 ยท DOL/EBSA.
OMB 1210-0139
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 SSPPACADepCov2010renewal.doc | Supporting Statement A |
 Affordable Care Act Enrollment Opportunity Notice Relating to Extension of Dependent Coverage |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201011-1210-003 | Extension without change of a currently approved collection | 2011-01-25 | Approved without change | |
| 201005-1210-001 | Revision of a currently approved collection | 2010-05-20 | Approved without change | |
| 201004-1210-008 | New collection (Request for a new OMB Control Number) | 2010-05-04 | Preapproved |