View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0267	ICR Reference No: 199607-0960-006
Status: Historical Active	Previous ICR Reference No: 199304-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: Medicaid Use Report -- 20 CFR 416.268
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: 09/19/1996
	Date Received in OIRA: 07/25/1996
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/1999	09/30/1999
Responses	25,000	0	0
Time Burden (Hours)	1,250	0	0
Cost Burden (Dollars)	0	0	0

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