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View ICR - OIRA Conclusion

OMB Control No: 0938-0610	ICR Reference No: 200810-0938-019
Status: Historical Active	Previous ICR Reference No: 200508-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Advanced Directives (Medicare and Medicard) - BDP-718
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/08/2009
	Date Received in OIRA: 10/31/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2012	36 Months From Approved	05/31/2009
Responses	20,378,336	0	33,096
Time Burden (Hours)	1,178,927	0	924,120
Cost Burden (Dollars)	0	0	0

Authorizing Statute(s): PL: Pub.L. 101 - 508 4751 Name of Law: Omnibus Reconciliation Act of 1990
   PL: Pub.L. 101 - 508 4206 Name of Law: Omnibus Reconciliation Act of 1990
   PL: Pub.L. 105 - 33 4641 Name of Law: Placement of advance directive in medical record.
   PL: Pub.L. 105 - 33 4002 Name of Law: Transitional rules for current medicare HMO program.
   PL: Pub.L. 105 - 33 4001 Name of Law: Establishment of Medicare+Choice program.

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	20,378,336	33,096	20,345,240
Annual Time Burden (Hours)	1,178,927	924,120	254,807
Annual Cost Burden (Dollars)	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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