View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0266	ICR Reference No: 198509-0938-021
Status: Historical Active	Previous ICR Reference No: 198409-0938-005
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: AMBULATORY SURGICAL CENTER REQUEST FOR CERTIFICATION AND SURVEY REPORT FORM, AND THE PAPERWORK REQUIREMENTS IN 42 CFR 416.43 AND 416.47
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: 09/20/1985
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/20/1985
	Date Received in OIRA: 09/20/1985
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/1986	10/31/1986	10/31/1986
Responses	215	0	215
Time Burden (Hours)	2,431	0	2,308
Cost Burden (Dollars)	0	0	0

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