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View ICR - OIRA Conclusion

OMB Control No: 3220-0185	ICR Reference No: 200110-3220-001
Status: Historical Active	Previous ICR Reference No: 199807-3220-001
Agency/Subagency: RRB	Agency Tracking No:
Title: Report of Medicaid State Office on Beneficiary's Buy-In Status
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: 11/29/2001
	Date Received in OIRA: 10/02/2001
Terms of Clearance: Approved. RRB will update form to refer to "CMS" instead of "HCFA" to reflect the name change.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2004	11/30/2004	12/31/2001
Responses	600	0	600
Time Burden (Hours)	100	0	100
Cost Burden (Dollars)	0	0	0

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