View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0147	ICR Reference No: 198810-0938-004
Status: Historical Active	Previous ICR Reference No: 198501-0938-013
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: STATE MEDICAID QUALITY CONTROL SAMPLE SELECTION LISTS
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/20/1989
	Date Received in OIRA: 10/04/1988
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/1990	03/31/1990
Responses	660	0	0
Time Burden (Hours)	21,120	0	0
Cost Burden (Dollars)	0	0	0

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