View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-0273	ICR Reference No: 199604-0938-006
Status: Historical Active	Previous ICR Reference No: 199109-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Identification of Extension Units of OPT/OSP Providers
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/19/1996
	Date Received in OIRA: 04/26/1996
Terms of Clearance: Approved for use through 7/99 under the condition that HCFA immediately incorporates the disclosure statements required by the Paperwork Reduction Act of 1995 and its implementing regulations. HCFA must provide these forms to OMB for the public record. Also, OMB notes that this approval action covers only the HCFA-381 and not the underlying regulations. HCFA failed to explicitly reference the regulations in this clearance package.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/1999	09/30/1999
Responses	2,300	0	0
Time Burden (Hours)	575	0	0
Cost Burden (Dollars)	0	0	0

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