View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1215-0057	ICR Reference No: 200309-1215-003
Status: Historical Active	Previous ICR Reference No: 200010-1215-001
Agency/Subagency: DOL/ESA	Agency Tracking No:
Title: Authorization for Release of Medical Information
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: 11/25/2003
	Date Received in OIRA: 09/26/2003
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2006	11/30/2006	11/30/2003
Responses	1,500	0	2,700
Time Burden (Hours)	125	0	225
Cost Burden (Dollars)	0	0	0

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