View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3220-0086	ICR Reference No: 198012-3220-005
Status: Historical Active	Previous ICR Reference No: 198009-3220-013
Agency/Subagency: RRB	Agency Tracking No:
Title: APPLICATION FOR REIMBURSEMENT FOR HOSPITAL INSURANCE SERVICE IN CANADA
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: 12/26/1980
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/26/1980
	Date Received in OIRA: 12/26/1980
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/1981	01/31/1981	12/31/1980
Responses	600	0	600
Time Burden (Hours)	100	0	100
Cost Burden (Dollars)	0	0	0

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