View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0251	ICR Reference No: 200107-0938-014
Status: Historical Active	Previous ICR Reference No: 199807-0938-015
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Application for Hospital Insurance in 42 CFR 406.7
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: 09/24/2001
	Date Received in OIRA: 07/26/2001
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2004	09/30/2004	09/30/2001
Responses	50,000	0	50,000
Time Burden (Hours)	12,500	0	12,500
Cost Burden (Dollars)	0	0	0

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