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View ICR - OIRA Conclusion

OMB Control No: 0960-0092	ICR Reference No: 197808-0960-005
Status: Historical Inactive	Previous ICR Reference No: 197511-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: REQUEST FOR ENROLLMENT IN SUPPLEMENTARY MEDICAL INSURANCE
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 12/21/1978
	Date Received in OIRA: 08/30/1978
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/1980	12/21/1978	11/30/1980
Responses	90,000	0	90,000
Time Burden (Hours)	9,000	0	9,000
Cost Burden (Dollars)	0	0	0

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