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View ICR - OIRA Conclusion

OMB Control No: 0960-0267	ICR Reference No: 199304-0960-003
Status: Historical Active	Previous ICR Reference No: 198410-0960-008
Agency/Subagency: SSA	Agency Tracking No:
Title: MEDICAID USE REPORT (FINAL REGULATION)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/24/1993
	Date Received in OIRA: 04/09/1993
Terms of Clearance: As acknowledged by the Social Security Administration this is a violation of the Paperwork Reduction Act. The OMB clearance on this collection expired 6-30-87, but SSA continued to use the form for the last six years in violation of the Act. This violation will be recorded in the Paperwork Reduction Act Annual Report for 1993.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1996	06/30/1996
Responses	25,000	0	0
Time Burden (Hours)	1,250	0	0
Cost Burden (Dollars)	0	0	0

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