View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0425	ICR Reference No: 198512-0960-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: EXTENTION AGREEMENTS FOR ASSESSMENT, CREDIT, OR REFUND UNDER STATE AND LOCAL COVERAGE AGREEMENTS
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/03/1986
	Date Received in OIRA: 12/13/1985
Terms of Clearance: This request is approved. When these requirements become effective, you must submit an inventory correction worksheet to reflect the correct burden hours.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/1989	01/31/1989
Responses	1	0	0
Time Burden (Hours)	1	0	0
Cost Burden (Dollars)	0	0	0

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