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View ICR - OIRA Conclusion

OMB Control No: 0938-0107	ICR Reference No: 198811-0938-009
Status: Historical Active	Previous ICR Reference No: 198602-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: INDEPENDENT RURAL HEALTH CLINIC COST REPORTING FORMS
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: 02/21/1989
	Date Received in OIRA: 11/22/1988
Terms of Clearance: Approved for use through 8/90 under the condition that the next form submitted for OMB review includes the public burden disclosure statement as required by 5 CFR 1320.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/1990	08/31/1990	12/31/1988
Responses	438	0	415
Time Burden (Hours)	4,380	0	5,652
Cost Burden (Dollars)	0	0	0

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