View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0270	ICR Reference No: 199507-0938-001
Status: Historical Active	Previous ICR Reference No: 199208-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Financial Statement of Debtor "Medicare"
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: 09/20/1995
	Date Received in OIRA: 07/13/1995
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/1998	09/30/1998	09/30/1995
Responses	500	0	0
Time Burden (Hours)	1,000	0	1,000
Cost Burden (Dollars)	0	0	0

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