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: 0938-0035	ICR Reference No: 200004-0938-007
Status: Historical Active	Previous ICR Reference No: 199706-0938-016
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: SSO Report of State Buy-in Problems, 42 CFR 407.40
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: 06/07/2000
	Date Received in OIRA: 04/26/2000
Terms of Clearance: Approved with changes on pages 5 and 6, as sent by HCFA on May 31, 2000.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2003	06/30/2003	06/30/2000
Responses	2,000	0	22,000
Time Burden (Hours)	716	0	6,417
Cost Burden (Dollars)	0	0	0

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.