View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0080	ICR Reference No: 200306-0938-002
Status: Historical Active	Previous ICR Reference No: 200002-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Application for Health Insurance Benefits Under Medicare for Individual with Chronic Renal Disease and Supporting Regulations in 42 CFR 406.7 and .13
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: 07/28/2003
	Date Received in OIRA: 06/04/2003
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2006	07/31/2006	07/31/2003
Responses	60,000	0	90,000
Time Burden (Hours)	26,000	0	26,000
Cost Burden (Dollars)	0	0	0

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