View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0379	ICR Reference No: 200006-0938-007
Status: Historical Active	Previous ICR Reference No: 199704-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Hospice Survey and Deficiencies Report Form and Supporting Regulations at 42 CFr Part 418.1 - 418.405
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: 08/10/2000
	Date Received in OIRA: 06/14/2000
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2003	09/30/2003	08/31/2000
Responses	2,293	0	2,150
Time Burden (Hours)	5,733	0	5,375
Cost Burden (Dollars)	0	0	0

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