View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1215-0057	ICR Reference No: 199411-1215-002
Status: Historical Active	Previous ICR Reference No: 199111-1215-001
Agency/Subagency: DOL/ESA	Agency Tracking No:
Title: AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION
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: 11/30/1994
	Date Received in OIRA: 11/29/1994
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/1997	12/31/1997	01/31/1995
Responses	3,000	0	3,000
Time Burden (Hours)	250	0	250
Cost Burden (Dollars)	0	0	0

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