Required Annual Employee Disclosure Notices
Required Annual Employee Disclosure Notices continued Required Annual Employee Disclosure Notices To seeif any other states have added apremiumassistanceprogram sinceJanuary 31, 2021,orfor moreinformation on special enrollment rights, contact either: U.S. Department of Labor Employee Benefits Security Administration www.dol.gov/agencies/ebsa 1-866-444-EBSA (3272) U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services www.cms.hhs.gov 1-877-267-2323, Menu Option 4, Ext. 61565 Paperwork Reduction Act Statement According to the Paperwork Reduction Act of 1995(Pub. L. 104-13) (PRA), no personsarerequired to respond to acollection of information unless such collection displays avalid Office of Management and Budget (OMB) control number. The Department notes that aFederal agency cannot conduct or sponsor a collection of information unless it is approved by OMB under the PRA, anddisplays a currently valid OMB control number, and the public is not required to respond to a collection of information unless it displays a currently valid OMB control number. See 44 U.S.C. 3507. Also, notwithstanding any other provisions of law, no person shall be subject to penalty for failing to comply with a collection of information if the collection of information does not display a currently valid OMB control number. See 44 U.S.C. 3512. The public reportingburden for this collection of information is estimatedto averageapproximately seven minutes per respondent.Interested parties areencouraged to send comments regarding the burden estimateor any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Employee Benefits Security Administration, Office of Policy and Research, Attention: PRA Clearance Officer, 200Constitution Avenue,N.W., RoomN-5718,Washington,DC20210oremailebsa.opr@dol.govandreferencetheOMBControl Number 1210-0137. OMB Control Number 1210-0137 (expires 1/31/2023)
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