View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0657	ICR Reference No: 200010-0938-007
Status: Historical Active	Previous ICR Reference No: 199709-0938-010
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: End-Stage Renal Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting Regulations in 42 CFR 405.2110 and 42 CFR 405.2112
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: 12/21/2000
	Date Received in OIRA: 10/20/2000
Terms of Clearance: Approved for use with revised disclosure statement as submitted 12/21/00.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2003	12/31/2003	12/31/2000
Responses	36	0	36
Time Burden (Hours)	108	0	108
Cost Burden (Dollars)	0	0	0

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