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: 0938-0778	ICR Reference No: 200010-0938-006
Status: Historical Active	Previous ICR Reference No: 199907-0938-012
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare + Choice (M + C) Organization Appeals and Grievance Data Disclosure Requirements and Supporting Regulations in 42 CFR 42 CFR 422.64, 422.11, and 422.560 - 422.622
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/19/2000
	Date Received in OIRA: 10/20/2000
Terms of Clearance: HCFA will remove the OMB address from the PRA disclosure statement.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2004	01/31/2004
Responses	536	0	0
Time Burden (Hours)	1,608	0	0
Cost Burden (Dollars)	0	0	0

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