View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0065	ICR Reference No: 198605-0938-002
Status: Historical Active	Previous ICR Reference No: 198406-0938-005
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: MEDICARE - REQUEST TO ESTABLISH ELIGIBILITY IN THE MEDICARE AND/OR MEDICAID PROGRAM TO PROVIDE OUTPATIENT PHYSICAL THERAPY AND/OR SPEECH PATHOLOGY SERVICES - OUTPATIENT ....
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/02/1986
	Date Received in OIRA: 05/06/1986
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1989	06/30/1989	07/31/1986
Responses	53	0	53
Time Burden (Hours)	783	0	462
Cost Burden (Dollars)	0	0	0

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