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View ICR - OIRA Conclusion

OMB Control No: 3220-0185	ICR Reference No: 199207-3220-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: RRB	Agency Tracking No:
Title: REPORT OF MEDICAID STATE OFFICE ON BENEFICIARY'S BUY-IN STATUS
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/11/1992
	Date Received in OIRA: 07/10/1992
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/1995	09/30/1995
Responses	600	0	0
Time Burden (Hours)	100	0	0
Cost Burden (Dollars)	0	0	0

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