View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0245	ICR Reference No: 198703-0938-005
Status: Historical Active	Previous ICR Reference No: 198408-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: MEDICARE - REQUEST FOR ENROLLMENT IN SUPPLEMENTARY MEDICAL INSURANCE (SMI)
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: 05/21/1987
	Date Received in OIRA: 03/16/1987
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/1990	05/31/1990	06/30/1987
Responses	40,000	0	50,000
Time Burden (Hours)	3,333	0	4,167
Cost Burden (Dollars)	0	0	0

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