View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0251	ICR Reference No: 198310-0938-027
Status: Historical Active	Previous ICR Reference No: 198201-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: APPLICATION FOR HOSPITAL INSURANCE
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/15/1983
	Date Received in OIRA: 10/19/1983
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/1986	10/31/1986
Responses	25,000	0	0
Time Burden (Hours)	6,250	0	0
Cost Burden (Dollars)	0	0	0

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