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View ICR - OIRA Conclusion

OMB Control No: 0938-0270	ICR Reference No: 198503-0938-016
Status: Historical Active	Previous ICR Reference No: 198211-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: FINANCIAL STATEMENT OF DEBTOR
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/15/1985
	Date Received in OIRA: 03/19/1985
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/1986	11/30/1986	04/30/1985
Responses	500	0	500
Time Burden (Hours)	1,000	0	1,000
Cost Burden (Dollars)	0	0	0

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