View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0267	ICR Reference No: 199912-0960-002
Status: Historical Active	Previous ICR Reference No: 199607-0960-006
Agency/Subagency: SSA	Agency Tracking No:
Title: Medicaid Use Report -- 20 CFR 216.628
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/18/2000
	Date Received in OIRA: 12/07/1999
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2003	02/28/2003	01/31/2000
Responses	60,000	0	25,000
Time Burden (Hours)	3,000	0	1,250
Cost Burden (Dollars)	0	0	0

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