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View ICR - OIRA Conclusion

OMB Control No: 0938-0245	ICR Reference No: 198408-0938-008
Status: Historical Active	Previous ICR Reference No: 198201-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: REQUEST FOR ENROLLMENT IN SUPPLEMENTARY MEDICAL 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: 09/18/1984
	Date Received in OIRA: 08/30/1984
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1987	06/30/1987
Responses	50,000	0	0
Time Burden (Hours)	4,167	0	0
Cost Burden (Dollars)	0	0	0

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