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: 0938-0802	ICR Reference No: 200203-0938-003
Status: Historical Active	Previous ICR Reference No: 200105-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Recognition of pass-through payment for drugs and biologicals under the Outpatient Prospective Payment System and Supporting Regulations in 42 CFR, Section 419.43, formerly known as......
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/24/2002
	Date Received in OIRA: 03/22/2002
Terms of Clearance: Approved for use through 5/2005 under the condition that before dissemination on the web, CMS incorporates the disclosure statements mandated by the Paperwork Reduction Act of 1985.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2005	06/30/2005	05/31/2002
Responses	55	0	500
Time Burden (Hours)	193	0	1,500
Cost Burden (Dollars)	0	0	0

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