View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0092	ICR Reference No: 197903-0960-034
Status: Historical Active	Previous ICR Reference No: 197808-0960-005
Agency/Subagency: SSA	Agency Tracking No:
Title: APPLICATION FOR MEDICAL INSURANCE
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 03/28/1979
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/28/1979
	Date Received in OIRA: 03/28/1979
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/1980	11/30/1980	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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