View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1215-0194	ICR Reference No: 200011-1215-003
Status: Historical Active	Previous ICR Reference No: 199712-1215-002
Agency/Subagency: DOL/ESA	Agency Tracking No:
Title: The NCPDP Universal Pharmacy Billing Form
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: 01/29/2001
	Date Received in OIRA: 11/28/2000
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2004	01/31/2004	01/31/2001
Responses	594,974	0	406,198
Time Burden (Hours)	49,382	0	33,714
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	594,974	406,198	230,608	-41,832
Annual Time Burden (Hours)	49,382	33,714	19,140	-3,472
Annual Cost Burden (Dollars)	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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