View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1215-0057	ICR Reference No: 198206-1215-013
Status: Historical Active	Previous ICR Reference No: 197806-1215-014
Agency/Subagency: DOL/ESA	Agency Tracking No:
Title: AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION
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: 06/30/1982
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/30/1982
	Date Received in OIRA: 06/30/1982
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/1983	05/31/1983	05/31/1983
Responses	90,200	0	90,200
Time Burden (Hours)	3,000	0	3,000
Cost Burden (Dollars)	0	0	0

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