REG-114494-10 - Affordable Care Act Enrollment Opportunity Notice Relating to Extended Dependent Coverage

OMB 1545-2172

OMB 1545-2172
Latest Forms, Documents, and Supporting Material
Document
Name
Supporting Statement A
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Approved without change
 Existing collection in use without an OMB Control Number 2012-03-27
Preapproved
 New collection (Request for a new OMB Control Number) 2010-05-03
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