View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0251	ICR Reference No: 199103-0938-006
Status: Historical Active	Previous ICR Reference No: 198908-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: MEDICARE - APPLICATION FOR HOSPITAL INSURANCE
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: 06/03/1991
	Date Received in OIRA: 03/18/1991
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/1994	05/31/1994	05/31/1991
Responses	50,000	0	50,000
Time Burden (Hours)	12,500	0	12,500
Cost Burden (Dollars)	0	0	0

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