View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-0266	ICR Reference No: 198610-0938-011
Status: Historical Active	Previous ICR Reference No: 198509-0938-021
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: AMBULATORY SURGICAL CENTER REQUEST FOR CERTIFICATION AND SURVEY REPORT
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: 01/29/1987
	Date Received in OIRA: 10/31/1986
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/1990	01/31/1990	10/31/1986
Responses	602	0	215
Time Burden (Hours)	451	0	2,431
Cost Burden (Dollars)	0	0	0

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.