View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0691	ICR Reference No: 200208-0938-013
Status: Historical Active	Previous ICR Reference No: 199907-0938-011
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare Disproportionate Share Adjustment Procedures and Criteria and Supporting Regulations in 42 CFR 412.106
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: 10/31/2002
	Date Received in OIRA: 08/29/2002
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2005	10/31/2005	10/31/2002
Responses	100	0	100
Time Burden (Hours)	100	0	100
Cost Burden (Dollars)	0	0	0

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