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: 0938-0444	ICR Reference No: 198908-0938-010
Status: Historical Active	Previous ICR Reference No: 198807-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: INFORMATION COLLECTION REQUIREMENT IN HSQ-109-F, PEER REVIEW ORGANIZATION SANCTIONS, 42 CFR 1004.40(B), 1004.50(A), (B) AND (C), 1004.60(A) AND (B), 1004.70(A) AND (B)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/01/1989
	Date Received in OIRA: 08/29/1989
Terms of Clearance: Approved for use for a limited period of time (through 11/90) because these rules may need to be reevaluated in light of OIG sanction streamlining efforts and final promulgation of the rulemaking denying Medicare payment for substandard care.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/1990	11/30/1990	10/31/1989
Responses	1,080	0	1,080
Time Burden (Hours)	30,672	0	30,672
Cost Burden (Dollars)	0	0	0

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