View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0080	ICR Reference No: 197808-0938-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: APPLICATION FOR HI BENEFITS UNDER MEDICARE FOR INDIVIDUAL WITH CHRONIC RENAL DISEASE
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/24/1978
	Date Received in OIRA: 08/16/1978
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/1982	07/31/1982
Responses	12,000	0	0
Time Burden (Hours)	6,000	0	0
Cost Burden (Dollars)	0	0	0

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