View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0065	ICR Reference No: 199205-0938-003
Status: Historical Active	Previous ICR Reference No: 199111-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: MEDICARE -- REQUEST TO ESTABLISH ELIGIBILITY IN THE MEDICARE AND/OR MEDICAID PROGRAM TO PROVIDE OUTPATIENT PHYSICAL THERAPY AND/OR SPEECH PATHOLOGY SERVICES -- OUTPATIENT ....
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/20/1992
	Date Received in OIRA: 05/28/1992
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/1995	08/31/1995	01/31/1995
Responses	650	0	650
Time Burden (Hours)	1,138	0	1,138
Cost Burden (Dollars)	0	0	0

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