View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0065	ICR Reference No: 200208-0938-014
Status: Historical Active	Previous ICR Reference No: 199907-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Request for Certification in the Medicare and/or Medicaid Program to Provide Outpatient Physical Therapy and/or Speech Pathology Services, Outpatient Physical Therapy Speech......
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	255	0	255
Time Burden (Hours)	446	0	446
Cost Burden (Dollars)	0	0	0

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