View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-0065	ICR Reference No: 197709-0938-003
Status: Historical Inactive	Previous ICR Reference No: 197412-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: OUTPATIENT PHYSICAL THERAPY SURVEY REPORT
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Not subject to PRA and continue	Conclusion Date: 09/30/1977
	Date Received in OIRA: 09/13/1977
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/1979	09/30/1979
Responses	120	0	0
Time Burden (Hours)	600	0	0
Cost Burden (Dollars)	0	0	0

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.