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: 0938-0667	ICR Reference No: 200310-0938-008
Status: Historical Active	Previous ICR Reference No: 200208-0938-016
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Examination and Treatment for Emergency Medical Conditions and Women in Labor (EMTALA), 42 CFR 482.12, 488.18, 489.20, and 489.24, & HCFA-1005-IFC, PPS for Hospital Outpatient Services,...
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/28/2004
	Date Received in OIRA: 10/16/2003
Terms of Clearance: This information collection request is approved consistent with CMS' final EMTALA regulation.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2007	01/31/2007	11/30/2005
Responses	5,600	0	5,600
Time Burden (Hours)	1	0	1
Cost Burden (Dollars)	0	0	0

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