View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0267	ICR Reference No: 200301-0960-006
Status: Historical Active	Previous ICR Reference No: 199912-0960-002
Agency/Subagency: SSA	Agency Tracking No:
Title: Medicaid Use Report, 20 CFR 216.628
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: 03/03/2003
	Date Received in OIRA: 01/27/2003
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2006	04/30/2006	02/28/2003
Responses	60,000	0	60,000
Time Burden (Hours)	3,000	0	3,000
Cost Burden (Dollars)	0	0	0

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