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: 0938-0582	ICR Reference No: 200307-0938-008
Status: Historical Active	Previous ICR Reference No: 200007-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: State Drug Rebate (Medicaid)
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: 09/09/2003
	Date Received in OIRA: 07/25/2003
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2006	09/30/2006	09/30/2003
Responses	204	0	204
Time Burden (Hours)	6,125	0	6,125
Cost Burden (Dollars)	134,000	0	139,000

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.