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: 0938-0697	ICR Reference No: 199611-0938-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicaid Report on Payables and Receivables
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 11/15/1996
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/26/1996
	Date Received in OIRA: 11/12/1996
Terms of Clearance: This information collection is approved through 5-97 under the following condition: Upon submission of this paperwork, HCFA will provide an analysis of the quality of the data received and report on any State comment or reaction in response to this collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/1997	05/31/1997
Responses	57	0	0
Time Burden (Hours)	171	0	0
Cost Burden (Dollars)	2,394,000	0	0

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