View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0080	ICR Reference No: 199012-0938-014
Status: Historical Active	Previous ICR Reference No: 198901-0938-007
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: 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: 06/24/1991
	Date Received in OIRA: 12/20/1990
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/1993	12/31/1993	03/31/1991
Responses	13,500	0	13,500
Time Burden (Hours)	5,850	0	5,850
Cost Burden (Dollars)	0	0	0

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