View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0787	ICR Reference No: 200001-0938-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Request for Employment Information
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/04/2000
	Date Received in OIRA: 01/06/2000
Terms of Clearance: Approved for use through 4/2001 under the condition that the next submission for OMB review includes an evaluation of burden reductions that may be possible through data matches with other Federal agencies.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2001	04/30/2001
Responses	5,000	0	0
Time Burden (Hours)	750	0	0
Cost Burden (Dollars)	0	0	0

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