30 LEGAL NOTICES I BENEFITS GUIDE LEGAL NOTICES To see if any other states have added a premium assistance program since July 31, 2020, or for more information on special en rol lment rights, contact either: U.S. Departm e nt of Lab o r Employee B e nefits Security Administration www.dol.gov/agencies/ebsa 1 - 866 - 444 - EBSA ( 3 272) 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 Pape r wor k Reduction A ct Stateme n t According to the Paperwork Reduction Act of 1995 (Pub. L. 104 - 13) (PRA), no persons are required to respond to a collection of information unless such collection displays a valid Office of Management and Budget (OMB) control number. The Department notes that a Fe der al agency cannot conduct or sponsor a collection of information unless it is approved by OMB under the PRA, and displays a currently va lid OMB control number, and the public is not required to respond to a collection of information unless it displays a currently valid OMB con tro l 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 wi th 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 reporting burden for this collection of information is estimated to average approximately four minutes per respond ent . Interested parties are encouraged to send comments regarding the burden estimate or any other aspect of this collection of information, inc luding suggestions for reducing this burden, to the U.S. Department of Labor, Office of Policy and Research, Attention: PRA Clearanc e O fficer, 200 Constitution Avenue, N.W., Room N - 5718, Washington, DC 20210 or email [email protected] and reference the OMB Control Number 1210 - 0137. OMB Control Number 1210 - 0137 (expires 1/31/2023)