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View ICR - OIRA Conclusion

OMB Control No: 0938-0107	ICR Reference No: 199607-0938-003
Status: Historical Active	Previous ICR Reference No: 199307-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Independent Rural Health Clinic/Freestanding Federally Qualified Health Center Cost Report
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: 09/13/1996
	Date Received in OIRA: 07/08/1996
Terms of Clearance: Approved for use through 9/99 under the following conditions: 1) HCFA immediately incorporates the disclosure statements mandated by the Paperwork Reduction Act of 1995. For the public record, HCFA must submit to OMB the revised forms/instructions; and 2) no later than 10/96 HCFA submits to OMB a correction worksheet further explaining the burden adjustment in this submission and amending the burden to reflect the increased program burden due to new requirements.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/1999	11/30/1999	09/30/1996
Responses	3,000	0	2,000
Time Burden (Hours)	150,000	0	100,000
Cost Burden (Dollars)	0	0	0

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