View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1535-0015	ICR Reference No: 198406-1535-002
Status: Historical Active	Previous ICR Reference No: 198208-1535-003
Agency/Subagency: TREAS/BPD	Agency Tracking No:
Title: CLAIMS APPLICATION (BEARER/ORGANIZATION)
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: 06/30/1984
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/30/1984
	Date Received in OIRA: 06/30/1984
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/1985	05/31/1985	05/31/1985
Responses	110	0	125
Time Burden (Hours)	110	0	125
Cost Burden (Dollars)	0	0	0

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