View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0697	ICR Reference No: 199708-0938-003
Status: Historical Active	Previous ICR Reference No: 199611-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicaid Report on Payables and Receivables
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/30/1997
	Date Received in OIRA: 08/11/1997
Terms of Clearance: This information collection is approved through 12-98 under the following conditions: HCFA will immediately increase the time estimate to at least 6 hours to be responsive to commenter concerns. If in the future the States need less time to complete the form, HCFA may then reduce the time estimate. Upon the next submission: 1)HCFA will incorporate this form into the HCFA-64 or provide a justification for why they have not done so; 2) identify other opportunities to reduce the burden associated with this form within the requirements of the CFO Act.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2000	09/30/2000
Responses	57	0	0
Time Burden (Hours)	171	0	0
Cost Burden (Dollars)	2,394,000	0	0

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