View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0245	ICR Reference No: 199109-0938-001
Status: Historical Active	Previous ICR Reference No: 199004-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: REQUEST FOR ENROLLMENT IN SUPPLEMENTARY MEDICAL INSURANCE (SMI)
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: 11/25/1991
	Date Received in OIRA: 09/25/1991
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/1994	11/30/1994	12/31/1991
Responses	40,000	0	40,000
Time Burden (Hours)	3,333	0	3,333
Cost Burden (Dollars)	0	0	0

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