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: 0938-0193	ICR Reference No: 200104-0938-002
Status: Historical Active	Previous ICR Reference No: 199802-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Transmittal and Notice of Approval of State Plan Material and Supporting Regulations in 42 CFR 430.10-430.20 and 440.167
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: 05/30/2001
	Date Received in OIRA: 04/02/2001
Terms of Clearance: This information collection request is approved consistent with the following term of clearance: HCFA must remove OMB's name & address from the form's PRA burden statement at the earliest reprinting

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2004	07/31/2004	05/31/2001
Responses	56	0	56
Time Burden (Hours)	560	0	560
Cost Burden (Dollars)	0	0	0

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