View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0990-0162	ICR Reference No: 200708-0990-001
Status: Historical Active	Previous ICR Reference No: 200401-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: State Medicaid Fraud Control Units Annual Report and Recertification Application
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/12/2007
	Date Received in OIRA: 08/15/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	36 Months From Approved
Responses	98	0	0
Time Burden (Hours)	4,557	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	98	50	48
Annual Time Burden (Hours)	4,557	1,813	2,744
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is reinstatement with change

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