View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-0193	ICR Reference No: 198301-0938-005
Status: Historical Active	Previous ICR Reference No: 198210-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: 42 CFR 425.121 - INDIVIDUALS IN STATES USING MORE RESTRICTIVE REQUIREMENTS FOR MEDICAID THAN THE SSI REQUIREMENTS (STATE PLAN PREPRINT)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/10/1983
	Date Received in OIRA: 01/17/1983
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/1985	03/31/1985	11/30/1984
Responses	862	0	808
Time Burden (Hours)	3,478	0	3,424
Cost Burden (Dollars)	0	0	0

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.