View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0080	ICR Reference No: 198901-0938-007
Status: Historical Active	Previous ICR Reference No: 198504-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: APPLICATION FOR HEALTH INSURANCE BENEFITS UNDER MEDICARE FOR INDIVIDUALS WITH CHRONIC RENAL DISEASE "MEDICARE"
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: 03/17/1989
	Date Received in OIRA: 01/11/1989
Terms of Clearance: Approved for use through 3/91 under the condition that the next submission for OMB approval contains a status report on the progress in implementing the Claims Modernization Project and utilizing data already collected in retirement and disability claims submitted to the Social Security Administration.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/1991	03/31/1991
Responses	13,500	0	0
Time Burden (Hours)	5,850	0	0
Cost Burden (Dollars)	0	0	0

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